Basic Information
Provider Information
NPI: 1316065790
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LANCASTER
FirstName: MARGARET
MiddleName: J
NamePrefix: MS.
NameSuffix:  
Credential: PTA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 250 PARK AVE
Address2:  
City: CONTOOCOOK
State: NH
PostalCode: 032293086
CountryCode: US
TelephoneNumber: 6037466715
FaxNumber:  
Practice Location
Address1: 239 PLEASANT ST
Address2:  
City: CONCORD
State: NH
PostalCode: 033017504
CountryCode: US
TelephoneNumber: 6032246561
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/26/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225200000XNH052NHY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant 

No ID Information.


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