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Lucas Reider Versland, DO
Student in an Organized Health Care Education/Training Program in New Britain, Connecticut
NPI 1962031500

Lucas Reider Versland is a Student in an Organized Health Care Education/Training Program based in Farmington, CT. Lucas Reider Versland practices in New Britain, CT and has the professional credentials of DO. The NPI Number for Lucas Reider Versland is 1962031500 and holds a License No. (Connecticut).

The current practice location address for Lucas Reider Versland is 100 Grand St, New Britain, CT and can be reached out via phone at 860-224-5261 and via fax at 860-224-5957.

Location: 100 Grand St, New Britain, CT, 06030-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962031500
Provider Name
Lucas Reider Versland
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
100 Grand St, New Britain, CT, 06030-0001
Phone Number
860-224-5261
Fax Number
860-224-5957
Provider Enumeration Date
04/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Grand St
City
New Britain
State
Connecticut
Zip
06052-2016
Phone Number
860-224-5261
Fax Number
860-224-5957
person
Provider Business Mailing Address Details
Address
100 Grand St
City
New Britain
State
Connecticut
Zip
06052-2016
Phone Number
860-224-5261
Fax Number
860-224-5957
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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