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1063105294
LUCAS TERRY
ROCHESTER, NY
NPI
1063105294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F351887-01)
Enumeration Date
2023-06-01
Last Update Date
2023-09-28
Business Address
LUCAS TERRY
2150A S CLINTON AVE
ROCHESTER, NY 14618-2618
Phone number: 585-256-0555
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Mailing Address
LUCAS TERRY
6318 DECKER RD
LIVONIA, NY 14487-9528
Phone number:
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