Individual
LUCAS RYAN WYMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3560 ARLINGTON AVE, RIVERSIDE, CA 92506-3936
(949) 491-9991
Mailing address
23000 MOAKLEY ST STE 102, LEONARDTOWN, MD 20650-2916
(301) 475-5555
(301) 475-5914
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D0078163
MD
Other
Enumeration date
06/18/2008
Last updated
06/20/2023
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