Theresa Mary Lucason, RPA-C Valid NPI
Individual provider · Medical Physician Assistant · East Syracuse, NY
- NPI
- 1518292333
- Type
- Individual (Type 1)
- Primary specialty
- Medical Physician Assistant (Physician Assistant)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363AM0700X
- License number
- 013599 (NY)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2009-10-13
- Last updated
- 2014-03-13
Practice location
4939 Brittonfield Pkwy, Suite 101
East Syracuse, NY 13057-9208
(315) 463-1600