LUCAS VINE, PA- C

Dermatology

Active Individual
NPI: 1942001474

Practice Address

276 KINGSBURY GRADE STE 101
Stateline, NV 89449

Phone: (775) 588-5000

Specialties

Specialty Code Primary License
Dermatology 207N00000X Yes PA3176 (NV)

Frequently Asked Questions

NPI 1942001474 is the National Provider Identifier for LUCAS VINE, PA- C, a Dermatology provider located in Stateline, NV. This NPI was enumerated on March 21, 2025.
LUCAS VINE, PA- C practices at 276 KINGSBURY GRADE STE 101, Stateline, NV 89449.

Quick Facts

NPI
1942001474
Type
Individual
Enumerated
Mar 21, 2025
Last Updated
Mar 21, 2025

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