Individual
LUCAS RICHARD BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-6262
(573) 815-2308
Mailing address
1 HOSPITAL DR, 3W27 HEALTH SCIENCES CENTER, DC 005.00, COLUMBIA, MO 65212-1000
(573) 884-3466
(573) 882-2226
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2015016609
MO
207R00000X
Internal Medicine Physician
2015016609
MO
Other
Enumeration date
06/05/2015
Last updated
03/11/2020
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