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Lucas Waddoups
NPI 1295388627 · on the registry since 2019
Practice
- Address
- 4381 S 900 E
South Ogden, UT 84403 - Phone
- (801) 837-7274
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah