Lucas Ian Trout, Dds, LLC

NPI #1740876168 in Monticello, Indiana

Provider Information

NPI Number: 1740876168
Entity Type: Organization
Organization Name: Lucas Ian Trout, Dds, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 20, 2020
Last Updated: Dec 20, 2020

Practice Location

Address: 210 W HARRISON ST
City: Monticello
State: Indiana
ZIP Code: 47960-2208
Phone: (765) 748-0809

Authorized Official

Name: DR. LUCAS IAN TROUT, DDS
Title: DENTIST
Phone: (765) 748-0809

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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