Provider Demographics
NPI:1154625002
Name:LANCASTER, DELAYNIE M
Entity type:Individual
Prefix:MISS
First Name:DELAYNIE
Middle Name:M
Last Name:LANCASTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 N BOURNE ST
Mailing Address - Street 2:
Mailing Address - City:TOLONO
Mailing Address - State:IL
Mailing Address - Zip Code:61880-9457
Mailing Address - Country:US
Mailing Address - Phone:217-485-5845
Mailing Address - Fax:
Practice Address - Street 1:607 N BOURNE ST
Practice Address - Street 2:
Practice Address - City:TOLONO
Practice Address - State:IL
Practice Address - Zip Code:61880
Practice Address - Country:US
Practice Address - Phone:217-485-5845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-07
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker