Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME42453 | FL |
N | 207XS0106X | Orthopaedic Hand Surgeon | ME42453 | FL |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | ME42453 | FL |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | ME42453 | FL |
NPI | 1487658910 |
---|---|
Provider Name | Dr. Steven J. Lancaster |
First Address | Jacksonville, FL 32207-8568 |
Second Address | Jacksonville Beach, FL 32250-3264 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2005 |
Last Update Date | 18/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
069500900 | (05) | FL |
200004121 | RAILROAD MEDICARE (01) | FL |
D50307 | (02) | FL |