Individual provider · Type 1 NPI
Lucas Hultman
Foot & Ankle Surgery Podiatrist · Los Angeles, CA
NPI number
1316301807
Active
Practice location
100 Ucla Medical Plaza Suite 460
Los Angeles, CA 90095
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice locations
- 11301 Wilshire Blvd, Bldg 500, Dept Of Surgery, #10-H-2, Los Angeles, CA 90073-1003 · (310) 268-3510
- 11301 Wilshire Blvd, Bldg 500, Dept Of Surgery, #10-H-2, Los Angeles, CA 90073-1003 · (310) 268-3510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E5485 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1316301807
Lucas Hultman's National Provider Identifier is 1316301807, issued on Apr 11, 2016. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 22, 2019.