LUCAS SEIBOLT

VALDOSTA, GA
NPI1588074140
Other NameLUCAS SEIBOLT
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RI0011X Internal Medicine, Interventional Cardiology
(Licence: GA  88599)
Additional Taxonomies207R00000X Internal Medicine
(Licence: AZ  R74418)
207R00000X Internal Medicine
(Licence: AZ  54189)
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IN  01083408A)
207UN0901X Nuclear Medicine, Nuclear Cardiology
(Licence: AZ  252293)
2471C3401X Radiologic Technologist, Computed Tomography
(Licence: AZ  252293)
Enumeration Date2014-05-05
Last Update Date2022-10-26
Business Address
LUCAS SEIBOLT M.D.
2409 N PATTERSON ST STE 310
VALDOSTA, GA 31602-2512
Phone number: 229-433-8160
Mailing Address
LUCAS SEIBOLT M.D.
2409 N PATTERSON ST STE 310
VALDOSTA, GA 31602-2512
Phone number: 229-433-8160