Individual
LUCAS HALLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2951 MAPLE AVE, ZANESVILLE, OH 43701-1406
(740) 454-5000
Mailing address
20715 BERRY RD, MOUNT VERNON, OH 43050-9226
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0020432
OH
Other
Enumeration date
01/13/2022
Last updated
09/15/2023
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