Knowlton, Lucas

Knowlton, Lucas is an sole proprietor health care provider with primary practice located at 4720 S I 10 Service Rd W Ste 301 , Metairie LA 70001-1241. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Knowlton, Lucas can be contacted via phone (504) 885-8225.

Contact Information

Primary practice address
4720 S I 10 Service Rd W Ste 301 Metairie LA 70001-1241
Phone: (504) 885-8225
Fax: (504) 885-7642
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 4970 Arizona

Profile Details

NPI number 1205119831
LBN Legal business name Knowlton, Lucas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2011
Last updated Aug 6th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205119831 NPPES
Louisiana Other PA.200603 LA STATE BOARD OF MEDICAL EXAMINERS

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