Individual
DR. LUCAS ABINADI BOHANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
331 SIIJAN AVE, WHITEMAN AFB, MO 65305
(316) 619-5481
Mailing address
331 SIIJAN AVE, WHITEMAN AFB, MO 65305
(316) 619-5481
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1973
NE
208M00000X
Hospitalist Physician
2023017104
MO
Other
Enumeration date
05/26/2016
Last updated
12/05/2023
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