Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | MD21175 | AL |
N | 204C00000X | Sports Medicine Doctor | MD36443 | TN |
N | 207L00000X | Anesthesiologist | MD21175 | AL |
N | 207L00000X | Anesthesiologist | MD36443 | TN |
N | 207P00000X | Emergency Physician | MD21175 | AL |
Y | 207P00000X | Emergency Physician | MD36443 | TN |
N | 207PE0004X | Emergency Medical Services | MD21175 | AL |
N | 207PE0004X | Emergency Medical Services | MD36443 | TN |
N | 208D00000X | General Practice Physician | MD21175 | AL |
N | 208D00000X | General Practice Physician | MD36443 | TN |
NPI | 1366692998 |
---|---|
Provider Name | Dr. Leland Jarnigan Lancaster JR. |
First Address | Nashville, TN 37205-2629 |
Second Address | Nashville, TN 37205-2629 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2008 |
Last Update Date | 18/09/2008 |