Individual
PHAT-LUCAS VO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 6TH AVE N, BESSEMER, AL 35020-4849
(205) 423-2031
Mailing address
2850 VENICE RD APT 1307, BIRMINGHAM, AL 35211-7006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D.007460-C1
AL
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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