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Individual

DR. LUCAS AARON ANDERSON

Active
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Individual

DR. LUCAS AARON ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5869285-1205
UT
208600000X
Surgery Physician
M-13257
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1073603692
ID
05
1073603692
NC
05
NC2396
SC
Enumeration date
10/13/2006
Last updated
10/16/2021
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