Individual
LUCAS FARROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STUDENT
Contact information
Practice address
3840 FARAON ST APT 7A, SAINT JOSEPH, MO 64506-3513
(573) 352-0156
Mailing address
3840 FARAON ST APT 7A, SAINT JOSEPH, MO 64506-3513
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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