Provider Demographics
NPI:1831416585
Name:LANCASTER, FAITH SANOVIA
Entity type:Individual
Prefix:MISS
First Name:FAITH
Middle Name:SANOVIA
Last Name:LANCASTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12241 LANSDOWNE ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48224-1045
Mailing Address - Country:US
Mailing Address - Phone:313-371-0601
Mailing Address - Fax:
Practice Address - Street 1:12241 LANSDOWNE ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48224-1045
Practice Address - Country:US
Practice Address - Phone:313-371-0601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-20
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula