| Lucas Nathan Vine, PA- C | |
|
276 Kingsbury Grade Ste 101, Stateline, NV 89449-9804 | |
| (775) 588-5000 | |
| Not Available |
| Full Name | Lucas Nathan Vine |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 276 Kingsbury Grade Ste 101, Stateline, Nevada |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942001474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | PA3176 (Nevada) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lucas Nathan Vine, PA- C 276 Kingsbury Grade Ste 101, Stateline, NV 89449-9804 Ph: (775) 588-5000 | Lucas Nathan Vine, PA- C 276 Kingsbury Grade Ste 101, Stateline, NV 89449-9804 Ph: (775) 588-5000 |
Martin Ernst Salm, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 276 Kingsbury Grade, Suite 101, Stateline, NV 89449 Phone: 775-588-5000 Fax: 775-588-5001 | |
Dr. Benjamin Daniel Bradford, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 276 Kingsbury Grade # 101, Stateline, NV 89449 Phone: 775-588-5000 |