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NPI Code Detail

MEDICARE: DR. STEVEN J. LANCASTER M.D.

MEDICARE:  DR. STEVEN J. LANCASTER  M.D.
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
1207X00000XOrthopaedic Surgery PhysicianME42453FL
2207XS0106XOrthopaedic Hand Surgery PhysicianME42453FL
3207XS0114XAdult Reconstructive Orthopaedic Surgery PhysicianME42453FL
4207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianME42453FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1200004121OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487658910
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN J. LANCASTER M.D.
Provider Business Mailing Address
First Line : 1325 SAN MARCO BLVD
Second Line : SUITE 200
City : JACKSONVILLE
State : FL
Zip : 32207-8568
Country : US
Telephone Number : 904-346-3465
Fax Number : 904-858-6489
Provider Business Practice Location Address
First Line : 1577 ROBERTS DR
Second Line : SUITE 225 & 226
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-3264
Country : US
Telephone Number : 904-241-1204
Fax Number : 904-241-7331
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 04/18/2016

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