Individual
LUCAS R JOSEPHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2800 CLAY EDWARDS DRIVE, NORTH KANSAS CITY, MO 64116-4673
(816) 691-2000
(816) 346-7242
Mailing address
PO BOX 11157, KANSAS CITY, MO 64119-0157
(855) 381-3941
(855) 291-1862
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085006274
IL
363A00000X
Physician Assistant
Primary
2016023821
MO
Other
Enumeration date
07/11/2016
Last updated
11/27/2018
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