MEDICARE: DR. DORIS P LANCASTER PSY.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
1	103TC0700X	Clinical Psychologist	2438	CO

General Provider Information

NPI Number	:	1518951334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DORIS P LANCASTER PSY.D.

Provider Business Mailing Address
First Line	:	PSC 41 BOX 6352
Second Line	:
City	:	APO
State	:	AE
Zip	:	09464
Country	:	US
Telephone Number	:	011441638528124
Fax Number	:	163-852-8649

Provider Business Practice Location Address
First Line	:	UNIT 5210 BOX 230
Second Line	:
City	:	APO
State	:	AE
Zip	:	09461
Country	:	US
Telephone Number	:	011441638528124
Fax Number	:	163-852-8649

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

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	11/26/2008

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