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Jerusha Lancaster is one of 244 physician assistants practicing in Irving, Texas .
Jerusha Lancaster practices with Spine DFW PA.
Registry record (NPPES)
NPI
1447812565
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
5040 Stagecoach Way Grand Prairie, TX 75052-2438 (817) 733-9375
Enumerated
Jun 29, 2019
Record last updated
Jun 29, 2019
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
440 W Lyndon B Johnson Fwy Suite 465
Irving , TX 75063
(972) 987-0969
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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