Individual
MR. LUCAS JOHN SPEAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
5882 KILKENNY MNR, CLARENCE CENTER, NY 14032
(954) 812-1265
Mailing address
5882 KILKENNY MNR, CLARENCE CENTER, NY 14032-9430
(954) 812-1265
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
342293
NY
363LF0000X
Family Nurse Practitioner
3432293
NY
Other
Enumeration date
09/20/2017
Last updated
07/21/2022
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