Individual
LUCAS M WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1275 PROSPECT AVE, BROOKLYN, NY 11218-1355
(646) 229-1835
Mailing address
1275 PROSPECT AVE, BROOKLYN, NY 11218-1355
(646) 229-1835
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004724-1
NY
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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