National Provider Identifier
Lucas Knewstub
Lucas Knewstub is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Ithaca, NY and a listed phone number of (607) 274-4011.
Profile Overview
- NPI
- 1083103642
- Provider Type
- Individual
- Primary Specialty
- Emergency Medicine Physician
- Enumeration Date
- May 08, 2018
- Last Updated
- August 04, 2021
Practice Location
- 101 Dates Dr
- Ithaca, NY 14850-1383
Phone: (607) 274-4011
Mailing Address
- 101 Dates Dr
- Ithaca, NY 14850-1342
Specialties
- Emergency Medicine Physician (207P00000X)
Full Record
- NPI
- 1083103642
- Entity Type
- Individual
- Last Name
- Knewstub
- First Name
- Lucas
- Mailing Street Address
- 101 Dates Dr
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1342
- Mailing Country
- US
- Practice Street Address
- 101 Dates Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1383
- Practice Country
- US
- Practice Phone
- (607) 274-4011
- Enumeration Date
- May 08, 2018
- Last Updated
- August 04, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 04, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Emergency Medicine Physician (207P00000X)