Lucas Ryan Bolyard, MD
Anesthesiology in Hershey, PA. Individual provider (NPI-1).
NPI number1164059929
StatusActive
Last updated in NPPESFeb 28, 2025
Details
- NPI
- 1164059929
- Entity type
- Individual (NPI-1)
- Name
- Lucas Ryan Bolyard
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2020
- Certification date
- Feb 28, 2025
- Last updated
- Feb 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 33764 | WV | Yes |
Practice location
500 University DrHershey, PA 17033-2360
Phone 800-243-1455
Mailing address
500 University DrHershey, PA 17033-2360
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