Healthcare Provider Details

I. General information

NPI: 1487567624
Provider Name (Legal Business Name): GLENDA K. LANCASTER MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1702 N WEST AVE
EL DORADO AR
71730-3867
US

IV. Provider business mailing address

1943 PLEASANT GROVE RD
EL DORADO AR
71730-9547
US

V. Phone/Fax

Practice location:
  • Phone: 870-875-5918
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRO79626
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: