Lucas Shanholtzer MD

NPI 1790165025 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1790165025
Gender Male
Enumeration Date 06/02/2015
Last Updated 06/02/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
11234 ANDERSON ST
LOMA LINDA CA, 92354-2804, US
Phone (909) 558-4918
Fax
Business Location
11234 ANDERSON ST
GME OFFICE WESTERLY SUITE C
LOMA LINDA CA, 92354-2804, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Lucas Shanholtzer MD NPI is 1790165025, taxonomy code is 390200000X Lucas Shanholtzer MD physically located at 11234 Anderson St, Loma Linda CA, 92354-2804. NPI Number Lucas Shanholtzer MD has the Individual type.

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1790165025 NPI number is provided on an as is basis without warranty of any kind. 1790165025 is maintained by the National Plan & Provider Enumeration System. The contents of Lucas Shanholtzer MD are for informational purposes only.