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1225587025
LUCAS ROBINSON
MERIDIAN, ID
NPI
1225587025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID pa1409)
Enumeration Date
2016-09-22
Last Update Date
2022-05-23
Business Address
LUCAS ROBINSON PA-C
520 S EAGLE RD STE 1222
MERIDIAN, ID 83642-6355
Phone number: 208-947-2266
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Mailing Address
LUCAS ROBINSON PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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