Healthcare Provider Details

I. General information

NPI: 1801805064
Provider Name (Legal Business Name): MICHAEL S LANCASTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 HONEYSUCKLE CT
CHAPEL HILL NC
27514-1711
US

IV. Provider business mailing address

2320 HONEYSUCKLE CT
CHAPEL HILL NC
27514-1711
US

V. Phone/Fax

Practice location:
  • Phone: 919-942-2857
  • Fax:
Mailing address:
  • Phone: 919-942-2857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number23050
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier50678
Identifier TypeOTHER
Identifier StateNC
Identifier IssuerBCBS OF NC
# 2
Identifier8950678
Identifier TypeMEDICAID
Identifier StateNC
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: