Provider Demographics
NPI:1063776102
Name:LANCASTER, NICHOLAS DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:DAVID
Last Name:LANCASTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3025 112TH AVE NE STE 200
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-8002
Mailing Address - Country:US
Mailing Address - Phone:512-596-2020
Mailing Address - Fax:512-596-3937
Practice Address - Street 1:11005 BURNET RD STE 120
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-4440
Practice Address - Country:US
Practice Address - Phone:512-596-2020
Practice Address - Fax:512-596-3937
Is Sole Proprietor?:No
Enumeration Date:2012-07-03
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.147341207W00000X
WI230-320207W00000X
NV17365207W00000X
WAMD.MD.60854412207W00000X
AZ57249207W00000X
NE27903207W00000X
IDM-13902207W00000X
NY290484207W00000X
UT10464347207W00000X
SD11125207W00000X
MEMD22573207W00000X
COCDR.0000194207W00000X
IAMD-45561207W00000X
MS26137207W00000X
TXR1067207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology