LUCAS C VAN DYKE — Medicare Enrolled Provider (PRACTITIONER - PSYCHIATRY, CA)
LUCAS C VAN DYKE — Medicare Enrolled Provider (PRACTITIONER - PSYCHIATRY, CA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: LUCAS C VAN DYKE; Type: Individual; NPI: 1003131624.
| Name | LUCAS C VAN DYKE |
|---|---|
| Type | Individual |
| NPI | 1003131624 |
| Provider type | PRACTITIONER - PSYCHIATRY |
| State | CA |
| Enrollment ID | I20150106000061 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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