NPI 1184327066

Madeline Grace Lancaster

Practitioner Technician Jackson, MS

Practice location

Address: 1900 N West St, Jackson, MS 39202-1033
Phone: (769) 777-1201

Registered specialties

Technician Primary

Nursing Service Related Providers Taxonomy 374700000X Licence RBT-22-216725

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Registry record

NPI: 1184327066
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Mar 2023
Record last updated: 22 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.