Individual
LUCAS ELLIOTT HALDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
111 IRONWOOD CT, DENVER, PA 17517-8619
(717) 940-9262
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA005841
PA
363AM0700X
Medical Physician Assistant
Primary
MA063066
PA
Other
Enumeration date
10/29/2021
Last updated
11/01/2021
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