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Individual

DR. LUCAS VINCENT SUDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
620 JOHN PAUL JONES CIR STE 275, PORTSMOUTH, VA 23708-2197
(757) 953-3238
Mailing address
77 NEALY AVE FL 2, HAMPTON, VA 23665-2040

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101276473
VA
207L00000X
Anesthesiology Physician
A165235
CA

Other

Enumeration date
03/20/2018
Last updated
11/13/2023
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