Organization
PRESTIGE WORLDWIDE LPB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCAS BELFORD PA (PHYSICIAN ASSISTANT)
(208) 999-0149
Entity
Organization
Contact information
Practice address
413 N ALLUMBAUGH ST STE 101, BOISE, ID 83704-9219
(208) 999-0149
Mailing address
413 N ALLUMBAUGH ST STE 101, BOISE, ID 83704-9219
(208) 999-0149
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
12/31/2025
Last updated
01/07/2026
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