Lucas C Pogue M.D.

NPI 1033195847 - Internal Medicine - 207R00000X

NPI Details
NPI 1033195847
Gender Male
Enumeration Date 12/22/2005
Last Updated 04/24/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1401 EASTLAND DR
BLOOMINGTON IL, 61701-3514, US
Phone (309) 663-8311
Fax (309) 663-1810
Business Location
1401 EASTLAND DR
BLOOMINGTON IL, 61701-3514, US
Phone (309) 663-8311
Fax (309) 663-1810
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 036103017
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According to our database, Dr. Lucas C Pogue M.D. NPI is 1033195847, taxonomy code is 207R00000X and license number is 036103017, license state is located at Illinois. Lucas C Pogue M.D. physically located at 1401 Eastland Dr, Bloomington IL, 61701-3514. NPI Number Lucas C Pogue M.D. has the Individual type.

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1033195847 NPI number is provided on an as is basis without warranty of any kind. 1033195847 is maintained by the National Plan & Provider Enumeration System. The contents of Lucas C Pogue M.D. are for informational purposes only.