National Provider Identifier

Lucas Terry

Lucas Terry is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 256-0555.

NPI 1063105294Rochester, NYFamily Nurse Practitioner

Profile Overview

NPI
1063105294
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
June 01, 2023
Last Updated
September 28, 2023

Practice Location

  • 2150A S Clinton Ave
  • Rochester, NY 14618-2618

Phone: (585) 256-0555

Mailing Address

  • 6318 Decker RD
  • Livonia, NY 14487-9528

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1063105294
Entity Type
Individual
Last Name
Terry
First Name
Lucas
Mailing Street Address
6318 Decker RD
Mailing City
Livonia
Mailing State
NY
Mailing ZIP Code
14487-9528
Mailing Country
US
Practice Street Address
2150A S Clinton Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-2618
Practice Country
US
Practice Phone
(585) 256-0555
Enumeration Date
June 01, 2023
Last Updated
September 28, 2023
Sex
Male
Sole Proprietor
No
Certification Date
September 28, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)