Bader, Lucas Jeremy

Bader, Lucas Jeremy is an individual health care provider with primary practice located at 12550 Biscayne Blvd Ste 405 , North Miami FL 33181-2539. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Bader, Lucas Jeremy can be contacted via phone (786) 539-2421.

Contact Information

Primary practice address
12550 Biscayne Blvd Ste 405 North Miami FL 33181-2539
Phone: (786) 539-2421
Fax: (786) 619-3366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A112030 California
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X ME95823 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME95823 Florida

Profile Details

NPI number 1518168806
LBN Legal business name Bader, Lucas Jeremy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Jun 18th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518168806 NPPES
Mississippi MEDICAID 02005067
Mississippi MEDICAID 2432206
Mississippi Other OD888
Mississippi MEDICAID 112202500
Mississippi Other OD890

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