Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 227874 | MA |
N | 208600000X | Surgeon | 227874 | MA |
Y | 2086S0129X | Vascular Surgeon | 227874 | MA |
NPI | 1093773673 |
---|---|
Provider Name | Robert Todd Lancaster |
First Address | Boston, MA 02114-3117 |
Second Address | Boston, MA 02114-3117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 11/05/2015 |