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Individual

LUCAS G BINGHAM

Active
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Individual

LUCAS G BINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
36857
AZ
207N00000X
Dermatology Physician
47852
MN
207N00000X
Dermatology Physician
Primary
A104512
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
265506
AZ
05
783850600
MN
01
860800150 85259 B201
TRICARE
AZ
01
P00425647
RAILROAD MEDICARE
AZ
Enumeration date
02/17/2006
Last updated
10/01/2014
Update your record

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