Individual
LUCAS WILLIAM BURKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
3948 CENTRAL AVE, SHADYSIDE, OH 43947-1310
(740) 325-1313
Mailing address
569 W 43RD ST, SHADYSIDE, OH 43947-1026
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.022040
OH
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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