Provider Demographics
NPI:1619936895
Name:LANCASTER, SABRINA M (FNP)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:M
Last Name:LANCASTER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:THOMASTON
Mailing Address - State:GA
Mailing Address - Zip Code:30286-6209
Mailing Address - Country:US
Mailing Address - Phone:706-938-4483
Mailing Address - Fax:706-938-0777
Practice Address - Street 1:502 W MAIN ST
Practice Address - Street 2:
Practice Address - City:THOMASTON
Practice Address - State:GA
Practice Address - Zip Code:30286-6209
Practice Address - Country:US
Practice Address - Phone:706-938-4483
Practice Address - Fax:706-938-0777
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN119030363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA807977562AMedicaid
GA50BBKKMMedicare UPIN
GA807977562AMedicaid
GAQ70032Medicare UPIN