MEDICARE: RAMONA C LANCASTER DNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	81-3339676	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	81-3339676	OTHER	GA	DEPARTMENT OF TREASURY INTERNAL REVENUE

General Provider Information

NPI Number	:	1053864264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMONA C LANCASTER DNP

Provider Business Mailing Address
First Line	:	2744 FORT MCALLISTER RD
Second Line	:
City	:	RICHMOND HILL
State	:	GA
Zip	:	31324-4802
Country	:	US
Telephone Number	:	912-844-1034
Fax Number	:	912-748-6277

Provider Business Practice Location Address
First Line	:	2744 FORT MCALLISTER RD
Second Line	:
City	:	RICHMOND HILL
State	:	GA
Zip	:	31324-4802
Country	:	US
Telephone Number	:	912-844-1034
Fax Number	:	912-748-6277

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2016
Last Update Date	:	07/25/2016

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