Lucas Blount

NPI 1750761540 - Internal Medicine - 207R00000X

NPI Details
NPI 1750761540
Gender Male
Enumeration Date 06/05/2015
Last Updated 06/05/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
1 HOSPITAL DR
DC043.00
COLUMBIA MO, 65212-1000, US
Phone (573) 884-9066
Fax (573) 884-3037
Business Location
1 HOSPITAL DR
DC043.00
COLUMBIA MO, 65212-1000, US
Phone (573) 884-1606
Fax (573) 884-5690
Toxanomy
Taxonomy Code 207R00000X
License State Missouri
License Number 2015016609
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According to our database, Lucas Blount NPI is 1750761540, taxonomy code is 207R00000X and license number is 2015016609, license state is located at Missouri. Lucas Blount physically located at 1 Hospital Dr, Columbia MO, 65212-1000. NPI Number Lucas Blount has the Individual type.

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1750761540 NPI number is provided on an as is basis without warranty of any kind. 1750761540 is maintained by the National Plan & Provider Enumeration System. The contents of Lucas Blount are for informational purposes only.