Individual
LUCAS SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
39 LINDEN AVE, COOPERSTOWN, NY 13326-1410
(607) 547-2808
Mailing address
39 LINDEN AVE, COOPERSTOWN, NY 13326-1410
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
656963-01
NY
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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