Lucas Pettit

NPI #1245787159 in Cicero, New York

Provider Information

NPI Number
1245787159
Entity Type
Individual
Name
Lucas Pettit
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Enumeration Date
Sep 8, 2016
Last Updated
Dec 3, 2019

Practice Location

Address
8003 BREWERTON RD
City
Cicero
ZIP Code
13039-9528
Phone
(315) 288-4006

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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