Individual
MR. LUCAS NESLADEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3401 4TH ST NW, ALBUQUERQUE, NM 87107-2423
(505) 994-5300
Mailing address
3401 4TH ST NW, ALBUQUERQUE, NM 87107-2423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2021-0024
NM
Other
Enumeration date
04/12/2021
Last updated
06/14/2023
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