Individual
LUCAS BENJAMIN BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
BUILDING 7149 BLACKSHEEP RUN RD, FORT CAMPBELL, KY 42223-5318
(270) 412-8688
(270) 412-8421
Mailing address
2020 21ST AVE S STE 201, NASHVILLE, TN 37212-4354
(615) 269-0652
(615) 269-0135
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2088
TN
Other
Enumeration date
03/23/2010
Last updated
12/05/2012
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