person
Lucas Knowlton, PA-C
Medical Physician Assistant in Metairie, Louisiana
NPI 1205119831

Lucas Knowlton is a Medical Physician Assistant based in Metairie, LA and is specialized in Medical. Lucas Knowlton practices in Metairie, LA and has the professional credentials of PA-C. The NPI Number for Lucas Knowlton is 1205119831 and holds a License No. 4970 (Louisiana).

The current practice location address for Lucas Knowlton is 4720 S I 10 Service Rd W Ste 301, Metairie, LA and can be reached out via phone at 504-885-8225 and via fax at 504-885-7642. You can also correspond with Lucas Knowlton through the mailing address at 4720 S I 10 SERVICE RD W STE 301, METAIRIE, LA - 70001-1241 (mailing address contact number: 504-885-8225).

Location: 4720 S I 10 Service Rd W Ste 301, Metairie, LA, 70001-1241
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Provider Profile Details
NPI Number
1205119831
Provider Name
Lucas Knowlton
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
4720 S I 10 Service Rd W Ste 301, Metairie, LA, 70001-1241
Phone Number
504-885-8225
Fax Number
504-885-7642
Provider Enumeration Date
09/20/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA.200603 01 LA LA STATE BOARD OF MEDICAL EXAMINERS
institution
Provider Business Practice Location Address Details
Address
4720 S I 10 Service Rd W Ste 301
City
State
Zip
70001-1241
Phone Number
504-885-8225
Fax Number
504-885-7642
person
Provider Business Mailing Address Details
Address
4720 S I 10 Service Rd W Ste 301
City
State
Zip
70001-1241
Phone Number
504-885-8225
Fax Number
504-885-7642
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
4970 (Arizona)
Definition
Definition to come...
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