Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lucas Pettit

Individual provider Medical Physician Assistant · NPI 1245787159

Lucas Pettit is a Medical Physician Assistant in Cicero, New York. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
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Practice location Address checks out

8003 Brewerton Rd
Cicero, NY 13039-9528
Phone: (315) 288-4006
Fax: (315) 288-4760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1245787159
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 8, 2016
Last updated in NPPESDecember 3, 2019
Mailing address3292 Black St, Scipio Center, NY 13147-3172

Other providers in Cicero