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Individual
LUCAS DWAYNE FRENCH
Active
Individual
LUCAS DWAYNE FRENCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1104484
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA22392
STATE LICENSE
CA
Enumeration date
07/25/2012
Last updated
03/07/2023
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