Individual
LUCAS BRINKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
115 SCHULT RIDGE RD, FREDERICKSBURG, IA 50630-9582
(563) 237-5316
(563) 237-6337
Mailing address
115 SCHULT RIDGE RD, FREDERICKSBURG, IA 50630
(563) 237-5316
(563) 237-6337
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
3824
IA
207Q00000X
Family Medicine Physician
Primary
3824
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811003031
BLUE SHIELD
IA
05
—
1811003031
—
IA
Enumeration date
08/21/2006
Last updated
02/18/2011
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