Individual
LUCAS W BIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 NE SAINT LUKES BLVD STE 200, LEES SUMMIT, MO 64086-6011
(816) 246-4302
(816) 246-9493
Mailing address
901 E 104TH ST # MS 400S, KANSAS CITY, MO 64131-4517
(816) 502-8752
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2021014902
MO
Other
Enumeration date
03/30/2017
Last updated
07/09/2021
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