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Teddy S Lancaster, MD
Family Medicine Physician in Walnut Ridge, Arkansas
NPI 1366516924

Teddy S Lancaster is a Family Medicine Physician based in Walnut Ridge, AR. Teddy S Lancaster practices in Walnut Ridge, AR and has the professional credentials of MD. The NPI Number for Teddy S Lancaster is 1366516924 and holds a License No. C4391 (Arkansas).

The current practice location address for Teddy S Lancaster is 1210 W Main St, Walnut Ridge, AR and can be reached out via phone at 870-886-3543 and via fax at 870-886-3252.

Location: 1210 W Main St, Walnut Ridge, AR, 72476-0719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366516924
Provider Name
Teddy S Lancaster
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1210 W Main St, Walnut Ridge, AR, 72476-0719
Phone Number
870-886-3543
Fax Number
870-886-3252
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
53020 01 AR BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1210 W Main St
City
Walnut Ridge
State
Arkansas
Zip
72476-1005
Phone Number
870-886-3543
Fax Number
870-886-3252
person
Provider Business Mailing Address Details
Address
1210 W Main St
City
Walnut Ridge
State
Arkansas
Zip
72476-1005
Phone Number
870-886-3543
Fax Number
870-886-3252
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
C4391 (Arkansas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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