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1598144479
LUCAS BANNISTER
ATLANTA, GA
NPI
1598144479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: GA 85602)
Enumeration Date
2015-05-25
Last Update Date
2024-06-10
Business Address
LUCAS BANNISTER M.D.
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342-1764
Phone number: 678-843-7324
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Mailing Address
LUCAS BANNISTER M.D.
1600 SW ARCHER RD
GAINESVILLE, FL 32610-0254
Phone number:
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