Individual provider · Type 1 NPI

Lucas B. Fadem

Student in an Organized Health Care Education/Training Program · Berkeley, CA

NPI number 1497634547 Active

Practice location

3075 Adeline St Ste 120
Berkeley, CA 94703-2579

Call (510) 621-7098 Map

Fax (510) 848-4445

Mailing address

4203 Brooklyn Ave NE Apt 95
Seattle, WA 98105-5910

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1497634547

Lucas B. Fadem's National Provider Identifier is 1497634547, issued on Sep 1, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Berkeley, CA. The record was last updated on Aug 25, 2026.