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1104550318
LUCAS LEVIN
MINEOLA, NY
NPI
1104550318
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2022-07-13
Last Update Date
2022-07-13
Business Address
LUCAS LEVIN
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-320-3914
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Mailing Address
LUCAS LEVIN
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-320-3914
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