Provider Demographics
NPI:1639116379
Name:LANCASTER, LIFFORD L (MD)
Entity Type:Individual
Prefix:DR
First Name:LIFFORD
Middle Name:L
Last Name:LANCASTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3024 BUSINESS PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3132
Mailing Address - Country:US
Mailing Address - Phone:615-851-6033
Mailing Address - Fax:615-851-2018
Practice Address - Street 1:3443 DICKERSON PIKE STE 400
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2524
Practice Address - Country:US
Practice Address - Phone:615-860-1772
Practice Address - Fax:615-870-1070
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD19776208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN10071052OtherAMERIGROUP COMMUNITY CARE
TN3045793Medicaid
TN4121519OtherBCBS
TN4227302OtherBCBST
TNQ007030Medicaid
1591537OtherAETNA
TNTN0105OtherAMERICHOICE
KY64794431OtherKY MEDICAID
TNP00307471OtherRAILROAD MEDICARE
TN4227302OtherBCBST
TN30457901Medicare PIN
1591537OtherAETNA