Individual
LUCAS RANDALL BEFFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2011015600
MO
208600000X
Surgery Physician
Primary
35.141868
OH
208600000X
Surgery Physician
39064
SC
Other
Enumeration date
06/16/2011
Last updated
05/28/2021
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