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Lucas Tibbs, DO
Student in an Organized Health Care Education/Training Program in Poplar Bluff, Missouri
NPI 1134863384

Lucas Tibbs is a Student in an Organized Health Care Education/Training Program based in Poplar Bluff, MO. Lucas Tibbs practices in Poplar Bluff, MO and has the professional credentials of DO. The NPI Number for Lucas Tibbs is 1134863384 and holds a License No. (Missouri).

The current practice location address for Lucas Tibbs is 3100 Oak Grove Rd, Poplar Bluff, MO and can be reached out via phone at 573-776-2000.

Location: 3100 Oak Grove Rd, Poplar Bluff, MO, 63901-2095
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134863384
Provider Name
Lucas Tibbs
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3100 Oak Grove Rd, Poplar Bluff, MO, 63901-2095
Phone Number
573-776-2000
Fax Number
Provider Enumeration Date
04/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3100 Oak Grove Rd
City
Poplar Bluff
State
Missouri
Zip
63901-1573
Phone Number
573-776-2000
Fax Number
person
Provider Business Mailing Address Details
Address
3100 Oak Grove Rd
City
Poplar Bluff
State
Missouri
Zip
63901-1573
Phone Number
573-776-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Missouri)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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