Individual
LUCAS STEPHEN BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
(423) 602-8400
(423) 602-8401
Mailing address
PO BOX 2930, INDIANAPOLIS, IN 46206-2930
(844) 468-9496
(855) 630-1300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000182324
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN24894
TN
Other
Enumeration date
07/27/2018
Last updated
10/26/2018
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