Individual
LUCAS DAVID BRIDGEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
13 STONELEDGE DR APT 11, TROY, NY 12182-3519
(518) 339-6027
Mailing address
13 STONELEDGE DR APT 11, TROY, NY 12182-3519
(518) 339-6027
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/29/2019
Last updated
11/29/2019
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