Individual
MS. THERESA MARY LUCASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
4939 BRITTONFIELD PKWY, SUITE 101, EAST SYRACUSE, NY 13057-9208
(315) 463-1600
(315) 634-6789
Mailing address
4939 BRITTONFIELD PKWY, SUITE 101, EAST SYRACUSE, NY 13057-9208
(315) 463-1600
(315) 634-6789
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013599
NY
Other
Enumeration date
10/13/2009
Last updated
03/13/2014
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