Individual
LUCAS PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2680 CRIMSON CANYON DR, LAS VEGAS, NV 89128-0841
(208) 814-5075
Mailing address
2020 PALOMINO LN STE 110, LAS VEGAS, NV 89106-4892
(702) 474-7200
(702) 474-0009
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT-569
ID
363A00000X
Physician Assistant
Primary
PA2514
NV
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/06/2017
Last updated
12/03/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us