Provider Demographics
NPI:1467268342
Name:LANCASTER, JASON ADAM
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:ADAM
Last Name:LANCASTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 LEGACY FALLS DR S
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-8232
Mailing Address - Country:US
Mailing Address - Phone:919-444-5837
Mailing Address - Fax:
Practice Address - Street 1:550 LEGACY FALLS DR S
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-8232
Practice Address - Country:US
Practice Address - Phone:919-444-5837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist