Peter Lucas, Pllc | |
10191 Ne Beach Crest Dr Bainbridge Island WA 98110-1368 | |
(206) 713-8713 | |
Not Available |
Full Name | Peter Lucas, Pllc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 10191 Ne Beach Crest Dr, Bainbridge Island, Washington |
Authorized Official Name and Position | Peter Lucas (OWNER) |
Authorized Official Contact | 2067138713 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Peter Lucas, Pllc 10191 Ne Beach Crest Dr Bainbridge Island WA 98110-1368 Ph: (206) 713-8713 | Peter Lucas, Pllc 10191 Ne Beach Crest Dr Bainbridge Island WA 98110-1368 Ph: (206) 713-8713 |
NPI Number | 1962027045 |
---|---|
Provider Enumeration Date | 06/15/2020 |
Last Update Date | 02/06/2024 |
Certification Date | 02/06/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962027045 | NPI | - | NPPES |
00031243 | Other | WA | MEDICAL LICENSE |
G50158 | Other | CA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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