LUCAS FOGARTY

BERKELEY, CA
NPI1033676622
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2019-03-01
Last Update Date2019-03-01
Business Address
LUCAS FOGARTY
2222 PRINCE ST
BERKELEY, CA 94705-1819
Phone number: 510-982-9006
Mailing Address
LUCAS FOGARTY
2222 PRINCE ST
BERKELEY, CA 94705-1819
Phone number: 510-982-9006
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