Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LUCAS NATHAN VINE, PA- C
ActiveDermatology · STATELINE, NV
Registration Details
- NPI Number
- 1942001474
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 21, 2025 (1.0880806522092 yrs)
- Last Updated
- Mar 21, 2025
- License
-
PA3176 (NV)
Practice Information
- Address
-
276 KINGSBURY GRADE STE 101STATELINE, NV, 894499804Browse NV providers · Browse ZIP 89449
- Phone
- 7755885000
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in STATELINE, NV
| Name | Credential | NPI |
|---|---|---|
| MARTIN ERNST SALM | M.D. | 1518152420 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.