Individual
LUCAS PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
2007 STATE ST, WASHINGTON, IN 47501
(812) 254-1558
Mailing address
515 BAYOU ST, VINCENNES, IN 47591-1034
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71008078A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71008078A
IN
Other
Enumeration date
05/29/2018
Last updated
05/01/2023
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