NPI Profile for LUCAS HULTMAN in LOS ANGELES, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI # | 1316301807 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/11/2016 | |
| Last updated | 07/22/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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LUCAS HULTMAN
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