LUCAS KNEWSTUB

ITHACA, NY
NPI1083103642
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NY  308462)
Enumeration Date2018-05-08
Last Update Date2021-08-04
Business Address
LUCAS KNEWSTUB
101 DATES DR
ITHACA, NY 14850-1383
Phone number: 607-274-4011
Mailing Address
LUCAS KNEWSTUB
101 DATES DR
ITHACA, NY 14850-1342
Phone number: