Provider Demographics
NPI:1659944205
Name:PRINGLE-LANCASTER, YOLANDA ANNETTE (RD)
Entity Type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:ANNETTE
Last Name:PRINGLE-LANCASTER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MRS
Other - First Name:YOLANDA
Other - Middle Name:A
Other - Last Name:LANCASTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RD
Mailing Address - Street 1:4601 PERRY ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-3436
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4601 PERRY ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-3436
Practice Address - Country:US
Practice Address - Phone:281-516-8754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-21
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86107585133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered