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Individual

SUMMIT LUCAS SCHRECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
22283 MAIN ST, HAYWARD, CA 94541-4004
(510) 470-3752
Mailing address
30 FAIRWAY DR, NOVATO, CA 94949-5904
(415) 246-1950

Taxonomy

Speciality
Code
Description
License number
State
374700000X
Technician
Primary

Other

Enumeration date
05/28/2024
Last updated
05/28/2024
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