Provider Demographics
NPI:1629868690
Name:ZANDER-LANCASTER, CARRIE (RRT)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:ZANDER-LANCASTER
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:
Other - Last Name:ZANDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RRT
Mailing Address - Street 1:3542 ROLPH WAY
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-4417
Mailing Address - Country:US
Mailing Address - Phone:608-206-3021
Mailing Address - Fax:
Practice Address - Street 1:3542 ROLPH WAY
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-4417
Practice Address - Country:US
Practice Address - Phone:608-206-3021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA476432279G1100X, 2279C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical Care
No2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care