Lucas Michael Djavaherian
Student in an Organized Health Care Education/Training Program in Washington, DC. Individual provider (NPI-1).
NPI number1003502139
StatusActive
Last updated in NPPESApr 12, 2023
Details
- NPI
- 1003502139
- Entity type
- Individual (NPI-1)
- Name
- Lucas Michael Djavaherian
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2023
- Certification date
- Apr 12, 2023
- Last updated
- Apr 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
110 Irving St NwWashington, DC 20010-3017
Phone 202-877-3536 · Fax 202-877-3699
Mailing address
110 Irving St NwWashington, DC 20010-3017
Phone 202-877-3536 · Fax 202-877-3699
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