Individual provider · Type 1 NPI
Lucas Samuel Tebbe, DPM
Foot & Ankle Surgery Podiatrist · Kansas City, MO
NPI number
1417519257
Active
Practice location
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Mailing address
11331 N State Highway V
Walnut Grove, MO 65770-8412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 2019024623 (MO) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1417519257
Lucas Samuel Tebbe, DPM's National Provider Identifier is 1417519257, issued on Jul 2, 2019. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Kansas City, MO. The record was last updated on Jul 2, 2019.