MEDICARE: LEAH J LANCASTER LMSW

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	104100000X	Social Worker	14636	TN

General Provider Information

NPI Number	:	1366287781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAH J LANCASTER LMSW

Provider Business Mailing Address
First Line	:	2057 FLETCHER CREEK DR
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38133-7059
Country	:	US
Telephone Number	:	901-410-9062
Fax Number	:	901-328-2768

Provider Business Practice Location Address
First Line	:	2057 FLETCHER CREEK DR
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38133-7059
Country	:	US
Telephone Number	:	901-410-9062
Fax Number	:	901-328-2768

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

Provider Enumeration Date	:	06/27/2024
Last Update Date	:	06/27/2024

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Directions to “ LEAH J LANCASTER LMSW” Practice Location

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