Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | MD470247 | PA |
NPI | 1083001119 |
---|---|
Provider Name | Aaron Edward Lucas |
First Address | Pittsburgh, PA 15240 |
Second Address | Pittsburgh, PA 15240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2015 |
Last Update Date | 03/12/2020 |