Donny Gwen Lancaster

NPI 1679708515 - Licensed Vocational Nurse - 164X00000X

NPI Details
NPI 1679708515
Gender Male
Enumeration Date 05/21/2009
Last Updated 05/21/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
3020 KEYSTONE ST
LONGVIEW TX, 75605-1504, US
Phone (903) 759-2264
Fax (903) 759-2264
Business Location
3020 KEYSTONE ST
LONGVIEW TX, 75605-1504, US
Phone (903) 759-2264
Fax (903) 759-2264
Toxanomy
Taxonomy Code 164X00000X
License State Texas
License Number 164X00000X
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According to our database, Donny Gwen Lancaster NPI is 1679708515, taxonomy code is 164X00000X and license number is 164X00000X, license state is located at Texas. Donny Gwen Lancaster physically located at 3020 Keystone St, Longview TX, 75605-1504. NPI Number Donny Gwen Lancaster has the Individual type.

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1679708515 NPI number is provided on an as is basis without warranty of any kind. 1679708515 is maintained by the National Plan & Provider Enumeration System. The contents of Donny Gwen Lancaster are for informational purposes only.