Lucas Waddoups
NPI #1295388627 in South Ogden, Utah
Provider Information
- NPI Number
- 1295388627
- Entity Type
- Individual
- Name
- Lucas Waddoups
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jul 24, 2019
- Last Updated
- Dec 16, 2021
Practice Location
- Address
- 4381 S 900 E
- City
- South Ogden
- State
- Utah
- ZIP Code
- 84403-2911
- Phone
- (801) 837-7274
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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