Individual
LUKAS SHUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 E MAIN ST, EMERGENCY MEDICINE, BAY SHORE, NY 11706
(631) 968-3271
Mailing address
301 E MAIN ST, EMERGENCY MEDICINE, BAY SHORE, NY 11706
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
270065
NY
Other
Enumeration date
04/19/2010
Last updated
03/16/2022
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