Provider Demographics
NPI:1316136567
Name:LANCASTER, ELISHA (MD)
Entity type:Individual
Prefix:DR
First Name:ELISHA
Middle Name:
Last Name:LANCASTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4600 MONTGOMERY ROAD
Mailing Address - Street 2:STE 105
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212
Mailing Address - Country:US
Mailing Address - Phone:513-487-5305
Mailing Address - Fax:513-487-5317
Practice Address - Street 1:830 THOMAS MORE PARKWAY
Practice Address - Street 2:STE 202
Practice Address - City:EDGEWOOD
Practice Address - State:KY
Practice Address - Zip Code:41017
Practice Address - Country:US
Practice Address - Phone:513-487-5303
Practice Address - Fax:513-487-5317
Is Sole Proprietor?:No
Enumeration Date:2007-10-23
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.095429207RN0300X
KY45036207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology