Lucas Porter
Student in an Organized Health Care Education/Training Program in Lock Haven, PA. Individual provider (NPI-1).
NPI number1922980010
StatusActive
Last updated in NPPESJul 22, 2025
Details
- NPI
- 1922980010
- Entity type
- Individual (NPI-1)
- Name
- Lucas Porter
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 22, 2025
- Certification date
- Jul 21, 2025
- Last updated
- Jul 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
401 N Fairview StLock Haven, PA 17745-2390
Phone 570-484-2027
Mailing address
268 Dry Run RdBeech Creek, PA 16822-8028
Phone 570-502-3775
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All 31 Student in an Organized Health Care Education/Training Program providers in Lock Haven · All 412 providers in Lock Haven
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