Individual provider · Type 1 NPI
Lucas Elliott Haldeman, PA
Medical Physician Assistant · Denver, PA
NPI number
1306500889
Active
Practice location
111 Ironwood Ct
Denver, PA 17517-8619
Mailing address
3421 Concord Rd
York, PA 17402-9001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA063066 (PA) |
| Physician Assistant | 363A00000X | OA005841 (PA) |
Medical Physician Assistant: Definition to come...
About NPI 1306500889
Lucas Elliott Haldeman, PA's National Provider Identifier is 1306500889, issued on Oct 29, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Denver, PA. The record was last updated on Nov 1, 2021.