Individual
LUCAS DANIEL HOLCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
305 LANGDON ST, SOMERSET, KY 42503-2750
(606) 679-7441
Mailing address
3917 HEMLOCK PARK DR, KINGSPORT, TN 37663-2058
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
129393
TN
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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