Individual
LUCAS A LEMBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2409 SPRING ST, COLUMBUS CITY, IA 52737-9302
(319) 728-7402
(319) 728-7404
Mailing address
2409 SPRING ST, COLUMBUS CITY, IA 52737-9302
(319) 728-7402
(319) 728-7404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08541
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08541
STATE LIC
IA
05
—
1255339750
—
IA
Enumeration date
07/01/2008
Last updated
01/14/2011
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