Search › Georgia › 207RI0011X
Lucas Seibolt, M.D
NPI 1588074140 · on the registry since 2014 · sole proprietor
Practice
- Address
- 2409 N Patterson St Ste 310
Valdosta, GA 31602 - Phone
- (229) 433-8160
- Fax
- (229) 244-2707
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 207RI0011X
207RI0011X
- Also registered as
- 207R00000X
207R00000X
207RC0000X
207UN0901X
2471C3401X - Licence states on file
- AZ, IN, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-26
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 Georgia