Individual
CLAIBORNE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-5515
Mailing address
701 GROVE RD, GREENVILLE, SC 29605-4210
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LL86023
SC
Other
Enumeration date
04/09/2021
Last updated
07/20/2021
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