Dr LUCAS L BANNISTER is a male medical professional, specializing in Anesthesiology. He graduated in 2015 from Emory University School Of Medicine.
FLORIDA CLINICAL PRACTICE ASSOCIATION INC
4101 NW 89TH BLVD
GAINESVILLE
FL
326063813
Tel:
Npi | 1598144479 |
Pac Id | 6305151994 |
Professional Enrollment Id | I20190805002025 |
Last Name | BANNISTER |
First Name | LUCAS |
Middle Name | L |
Suffix | |
Gender | M |
Credential | |
Medical School Name | EMORY UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2015 |
Primary Specialty | ANESTHESIOLOGY |
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Organization Legal Name | FLORIDA CLINICAL PRACTICE ASSOCIATION INC |
Group Practice Pac Id | 0345146254 |
Number Of Group Practice Members | 1143 |
Line 1 Street Address | 4101 NW 89TH BLVD |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | Y |
City | GAINESVILLE |
State | FL |
Zip Code | 326063813 |
Phone Number | |
Hospital Affiliation Ccn 1 | 100113 |
Hospital Affiliation Lbn 1 | UF HEALTH SHANDS HOSPITAL |
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Professional Accepts Medicare Assignment | Y |
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