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Individual
LUCAS COLE SHORT
Active
Individual
LUCAS COLE SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO223828
OR
208M00000X
Hospitalist Physician
Primary
DO223828
OR
208M00000X
Hospitalist Physician
Primary
PG221374
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2020
Last updated
05/18/2026
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