LUCAS NATHAN VINE

STATELINE, NV
NPI1942001474
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: NV  PA3176)
Enumeration Date2025-03-21
Last Update Date2025-03-21
Business Address
LUCAS NATHAN VINE PA- C
276 KINGSBURY GRADE STE 101
STATELINE, NV 89449-9804
Phone number: 775-588-5000
Mailing Address
LUCAS NATHAN VINE PA- C
276 KINGSBURY GRADE STE 101
STATELINE, NV 89449-9804
Phone number: 775-588-5000
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