Individual
LUCAN COLQUHOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 ALIJO DR, WEST YARMOUTH, MA 02673-2563
(508) 360-5095
Mailing address
12 ALIJO DR, WEST YARMOUTH, MA 02673-2563
(508) 360-5095
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2290855
MA
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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