Healthcare Provider Details

I. General information

NPI: 1316851736
Provider Name (Legal Business Name): DR. SCOTT ANDREW LANCASTER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 MAPLE AVE
GOFFSTOWN NH
03045-1906
US

IV. Provider business mailing address

15 MAPLE AVE
GOFFSTOWN NH
03045-1906
US

V. Phone/Fax

Practice location:
  • Phone: 603-512-7462
  • Fax:
Mailing address:
  • Phone: 603-512-7462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number19703M
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: