Individual
LUCAS SHULMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
217 W CATALDO AVE, SPOKANE, WA 99201
(509) 747-6194
(509) 252-2837
Mailing address
PO BOX 2242, SPOKANE, WA 99210-2242
(509) 747-6194
(509) 252-2837
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60900163
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1155915
NCCPA
WA
Enumeration date
05/02/2017
Last updated
09/28/2018
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