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Individual
LUCAS PITTMAN
Active
Individual
LUCAS PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71008078A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71008078A
IN
Other
Enumeration date
05/29/2018
Last updated
05/01/2023
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