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Lucius Fairbotham, SPECIALIST
Specialist in Kalamazoo, Michigan
NPI 1497350516

Lucius Fairbotham is a Specialist based in Kalamazoo, MI. Lucius Fairbotham practices in Kalamazoo, MI and has the professional credentials of SPECIALIST. The NPI Number for Lucius Fairbotham is 1497350516 and holds a License No. (Michigan).

The current practice location address for Lucius Fairbotham is 610 S Burdick St, Kalamazoo, MI and can be reached out via phone at 269-381-3700 and via fax at 269-381-3700.

Location: 610 S Burdick St, Kalamazoo, MI, 49007-5221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497350516
Provider Name
Lucius Fairbotham
Credential
SPECIALIST
Provider Entity Type
Individual
Gender
Male
Address
610 S Burdick St, Kalamazoo, MI, 49007-5221
Phone Number
269-381-3700
Fax Number
269-381-3700
Provider Enumeration Date
12/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
610 S Burdick St
City
Kalamazoo
State
Michigan
Zip
49007-5221
Phone Number
269-381-3700
Fax Number
269-381-3700
person
Provider Business Mailing Address Details
Address
610 S Burdick St
City
Kalamazoo
State
Michigan
Zip
49007-5221
Phone Number
269-381-3700
Fax Number
269-381-3700
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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