Provider Demographics
NPI:1932237120
Name:LANCASTER, MARCIA FAITH (DC)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:FAITH
Last Name:LANCASTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1925 SOUTHERN AVE
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306-1755
Mailing Address - Country:US
Mailing Address - Phone:910-897-0200
Mailing Address - Fax:910-897-0101
Practice Address - Street 1:3007 FORT BRAGG RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-4726
Practice Address - Country:US
Practice Address - Phone:910-897-0200
Practice Address - Fax:910-897-0101
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2953111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC085TFOtherBLUE CROSS BLUE SHEILD
NC89085TFMedicaid