Lucas Nathan Vine, PA- C

NPI #1942001474 in Stateline, Nevada

Provider Information

NPI Number
1942001474
Entity Type
Individual
Name
Lucas Nathan Vine, PA- C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dermatology
Credential
PA- C
Enumeration Date
Mar 21, 2025
Last Updated
Mar 21, 2025

Practice Location

Address
276 KINGSBURY GRADE STE 101
State
Nevada
ZIP Code
89449-9804
Phone
(775) 588-5000

Specialties & Taxonomy Codes

Specialty
Dermatology

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