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1619446622
LEMUEL CARLO LUCAS DE LEON
FREDERICK, MD
NPI
1619446622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R197575)
Enumeration Date
2018-11-19
Last Update Date
2019-05-15
Business Address
Mr. LEMUEL CARLO LUCAS DE LEON CRNP
501 W 7TH ST
FREDERICK, MD 21701
Phone number: 301-698-8374
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Mailing Address
Mr. LEMUEL CARLO LUCAS DE LEON CRNP
PO BOX 37086
BALTIMORE, MD 21297-3086
Phone number: 240-439-8733
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