Lucas Vannoy D.O.

NPI 1790101566 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1790101566
Gender Male
Enumeration Date 03/17/2014
Last Updated 01/11/2016
Entity Type Individual
Active Over 2 years ago
Practice Location
1061 HARMON AVE STE 1D03
FORT STEWART GA, 31314-5674, US
Phone (912) 435-5965
Fax
Business Location
1061 HARMON AVE STE 1D03
FORT STEWART GA, 31314-5674, US
Phone (912) 435-5965
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Lucas Vannoy D.O. NPI is 1790101566, taxonomy code is 390200000X Lucas Vannoy D.O. physically located at 1061 Harmon Ave Ste 1d03, Fort Stewart GA, 31314-5674. NPI Number Lucas Vannoy D.O. has the Individual type.

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1790101566 NPI number is provided on an as is basis without warranty of any kind. 1790101566 is maintained by the National Plan & Provider Enumeration System. The contents of Lucas Vannoy D.O. are for informational purposes only.