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NPI Code Detail

MEDICARE: AVERY LANCASTER

MEDICARE: AVERY LANCASTER
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1952233264
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVERY LANCASTER
Provider Business Mailing Address
First Line : 3636 MCKINNEY AVE APT 403
Second Line :
City : DALLAS
State : TX
Zip : 75204-1445
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2121 MIDWAY RD STE 145
Second Line :
City : CARROLLTON
State : TX
Zip : 75006-5263
Country : US
Telephone Number : 972-851-1022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ AVERY LANCASTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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