Provider Demographics
NPI:1366692998
Name:LANCASTER, LELAND JARNIGAN JR (MD)
Entity type:Individual
Prefix:DR
First Name:LELAND
Middle Name:JARNIGAN
Last Name:LANCASTER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:748 DARDEN PL
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2629
Mailing Address - Country:US
Mailing Address - Phone:615-356-7879
Mailing Address - Fax:
Practice Address - Street 1:748 DARDEN PL
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2629
Practice Address - Country:US
Practice Address - Phone:615-356-7879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD36443204C00000X, 207L00000X, 207P00000X, 207PE0004X, 207PE0005X, 208D00000X
ALMD21175204C00000X, 207L00000X, 207P00000X, 207PE0004X, 207PE0005X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice