Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 35089841 | OH |
N | 2080P0203X | Pediatric Critical Care Doctor | 35089841 | OH |
NPI | 1255360723 |
---|---|
Provider Name | Christopher Thomas Lancaster |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 24/01/2012 |