Individual
MR. LUCAS JAMES CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
260 CREST RD, SUITE 103, SAINT ALBANS, VT 05478-9503
(802) 524-8911
(802) 524-1265
Mailing address
260 CREST RD, SUITE 103, SAINT ALBANS, VT 05478-9503
(802) 524-8911
(802) 524-1265
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055-0031332
VT
Other
Enumeration date
02/09/2017
Last updated
05/14/2020
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