Healthcare Provider Details
I. General information
NPI: 1841819265
Provider Name (Legal Business Name): LINDSAY BRIANNA LANCASTER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/15/2020
Last Update Date: 06/29/2023
Certification Date: 06/29/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
391 FALLS DR NW
ABINGDON VA
24210-8093
US
IV. Provider business mailing address
2323 N JOHN B DENNIS HWY
KINGSPORT TN
37660
US
V. Phone/Fax
- Phone: 276-739-2920
- Fax: 423-390-3339
- Phone: 423-857-2066
- Fax: 423-390-3339
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 0102207946 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: