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1689933384
LUCAS WEBB
IDAHO FALLS, ID
NPI
1689933384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207LP3000X Anesthesiology, Pediatric Anesthesiology
(Licence: ID 0-1020)
Enumeration Date
2012-05-15
Last Update Date
2018-08-02
Business Address
Dr. LUCAS WEBB DO
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-529-6111
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Mailing Address
Dr. LUCAS WEBB DO
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-529-6111
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