National Provider Identifier

Lucas John Speak, ARNP

Lucas John Speak, ARNP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Clarence Center, NY and a listed phone number of (954) 812-1265.

NPI 1750890919Clarence Center, NYNurse Practitioner

Profile Overview

NPI
1750890919
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
September 20, 2017
Last Updated
July 21, 2022

Practice Location

  • 5882 Kilkenny Mnr
  • Clarence Center, NY 14032

Phone: (954) 812-1265

Mailing Address

  • 5882 Kilkenny Mnr
  • Clarence Center, NY 14032-9430

Specialties

  • Nurse Practitioner (363L00000X)
  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1750890919
Entity Type
Individual
Last Name
Speak
First Name
Lucas
Middle Name
John
Name Prefix
Mr.
Credential
ARNP
Mailing Street Address
5882 Kilkenny Mnr
Mailing City
Clarence Center
Mailing State
NY
Mailing ZIP Code
14032-9430
Mailing Country
US
Mailing Phone
(954) 812-1265
Practice Street Address
5882 Kilkenny Mnr
Practice City
Clarence Center
Practice State
NY
Practice ZIP Code
14032
Practice Country
US
Practice Phone
(954) 812-1265
Enumeration Date
September 20, 2017
Last Updated
July 21, 2022
Sex
Male
Sole Proprietor
Yes
Certification Date
February 11, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X), Family Nurse Practitioner (363LF0000X)