MEDICARE: DR. LIFFORD L 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
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	MD19776	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	P00307471	OTHER	TN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10071052	OTHER	TN	AMERIGROUP COMMUNITY CARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4121519	OTHER	TN	BCBS
4	4227302	OTHER	TN	BCBST
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	1591537	OTHER		AETNA
7	TN0105	OTHER	TN	AMERICHOICE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639116379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LIFFORD L LANCASTER M.D.

Provider Business Mailing Address
First Line	:	3024 BUSINESS PARK CIR
Second Line	:
City	:	GOODLETTSVILLE
State	:	TN
Zip	:	37072-3132
Country	:	US
Telephone Number	:	615-239-2018
Fax Number	:	615-851-2018

Provider Business Practice Location Address
First Line	:	3443 DICKERSON PIKE STE 500
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37207-2599
Country	:	US
Telephone Number	:	615-860-1772
Fax Number	:	615-870-1070

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

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	04/21/2026

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