Provider Demographics
NPI:1497793681
Name:LANCASTER, DARYL HAMILTON (DC)
Entity Type:Individual
Prefix:DR
First Name:DARYL
Middle Name:HAMILTON
Last Name:LANCASTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1907 W HUNTSVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-3024
Mailing Address - Country:US
Mailing Address - Phone:501-954-5332
Mailing Address - Fax:866-803-2188
Practice Address - Street 1:1907 W HUNTSVILLE AVE
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-3024
Practice Address - Country:US
Practice Address - Phone:501-954-5332
Practice Address - Fax:866-803-2188
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1440111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARU65872Medicare UPIN
AR5T543Medicare ID - Type Unspecified