Martin, Lucas Jacob

Martin, Lucas Jacob is an individual health care provider with primary practice located at 1310 Monterey Dr , Eustis FL 32726-6413. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Martin, Lucas Jacob can be contacted via phone (352) 901-2207.

Contact Information

Primary practice address
1310 Monterey Dr Eustis FL 32726-6413
Phone: (352) 901-2207
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 11003891 Florida

Profile Details

NPI number 1467001701
LBN Legal business name Martin, Lucas Jacob
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2019
Last updated Sep 10th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers