Individual provider · Type 1 NPI

Lukas Dubose

Student in an Organized Health Care Education/Training Program · Fort Campbell, KY

NPI number 1114837002 Active

Practice location

650 Joel Dr
Fort Campbell, KY 42223-8355

Call (270) 798-8400 Map

Mailing address

339 Baker St Unit B
Fort Campbell, KY 42223-3662

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider 171000000XNone listed
Medical Physician Assistant 363AM0700XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

930 other providers at this address

Other student in an organized health care education/training program providers in Fort Campbell

See all in Fort Campbell →

About NPI 1114837002

Lukas Dubose's National Provider Identifier is 1114837002, issued on Sep 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Campbell, KY. The record was last updated on Sep 11, 2026.