Individual
LUCAS ROSENBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 BROAD ST, CHARLESTON, SC 29401-2901
(844) 999-9970
Mailing address
PO BOX 22421, CHARLESTON, SC 29413-2421
(844) 999-9970
(843) 989-0020
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4814
SC
Other
Enumeration date
04/04/2017
Last updated
06/11/2024
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