Provider Demographics
NPI:1548750201
Name:LANCASTER, LESIA ANN (LPCA)
Entity Type:Individual
Prefix:
First Name:LESIA
Middle Name:ANN
Last Name:LANCASTER
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1451 SOUTH ELM-EUGENE STREET
Mailing Address - Street 2:SUITE 3109
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406
Mailing Address - Country:US
Mailing Address - Phone:336-202-0846
Mailing Address - Fax:
Practice Address - Street 1:1451 SOUTH ELM-EUGENE STREET
Practice Address - Street 2:SUITE 3109
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406
Practice Address - Country:US
Practice Address - Phone:336-202-0846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-17
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA13788101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional