NPI Profile for LUCAS BRILLIOTT in FORT HOOD, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Research Study |
1744R1102X |
| NPI # | 1306126594 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/19/2011 | |
| Last updated | 08/19/2011 - About 15 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LUCAS BRILLIOTT
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