Individual
LUCAS DALE MUDLOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 W 1ST ST STE 200, RENO, NV 89503-5587
(775) 677-2216
(775) 322-4460
Mailing address
900 W 1ST ST STE 200, RENO, NV 89503-5587
(775) 677-2216
(775) 322-4460
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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