Most Relevant Information
Provider Data
| NPI Number: | 1003460262 |
| Provider Name: | SUSAN A LANCASTER ACNPC-AG |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 26NJ00936900 |
Most Important Dates
| Enumeration Date: | 07/26/2019 |
| Last Updated: | 08/09/2023 |
Provider Practice Location
1541 ROUTE 88 STE A
BRICK
NJ
087242373
Practice Location Phone/Fax
| Phone: | 7328363200 |
| Fax: |
Provider Mailing Location
56 TAYLOR AVE # A
MANASQUAN
NJ
087363030
Provider Mailing Phone/Fax
| Phone: | 7326915881 |
| Fax: |