Lucas Edwards

NPI #1790315018 in Godfrey, Illinois

Provider Information

NPI Number: 1790315018
Entity Type: Individual
Name: Lucas Edwards
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jan 26, 2020
Last Updated: Jan 26, 2020

Practice Location

Address: 6702 GODFREY RD
City: Godfrey
State: Illinois
ZIP Code: 62035-2205
Phone: (618) 467-1540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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