Individual
MR. LEMUEL CARLO LUCAS DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
501 W 7TH ST, FREDERICK, MD 21701
(301) 698-8374
Mailing address
PO BOX 37086, BALTIMORE, MD 21297-3086
(240) 439-8733
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R197575
MD
Other
Enumeration date
11/19/2018
Last updated
05/15/2019
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