PHAT-LUCAS VO

BAKER, LA
NPI1760378160
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: LA  7656)
Additional Taxonomies122300000X Dentist
(Licence: AL  D.007460-C1)
Enumeration Date2025-06-13
Last Update Date2026-07-20
Business Address
PHAT-LUCAS VO
3114 GROOM RD
BAKER, LA 70714-3402
Phone number: 225-775-0160
Mailing Address
PHAT-LUCAS VO
3114 GROOM RD
BAKER, LA 70714-3402
Phone number:
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