LUCAS TIBBS

POPLAR BLUFF, MO
NPI1134863384
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-25
Last Update Date2022-04-25
Business Address
LUCAS TIBBS DO
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901-1573
Phone number: 573-776-2000
Mailing Address
LUCAS TIBBS DO
41 KATHY CV
POPLAR BLUFF, MO 63901-2095
Phone number: 573-714-4678