Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LUCAS SEIBOLT, M.D.
Active Sole ProprietorLUCAS SEIBOLT, M.D. is a Hospice and Palliative Medicine healthcare provider located in VALDOSTA, Georgia. NPI 1588074140 is currently active in the NPPES registry. Verify at CMS.
Hospice and Palliative Medicine · VALDOSTA, GA
Registration Details
- NPI Number
- 1588074140
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 5, 2014 (12.298061530108 yrs)
- Last Updated
- Oct 26, 2022
- Licenses
-
R74418 (AZ)54189 (AZ)01083408A (IN)252293 (AZ)252293 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2409 N PATTERSON ST STE 310VALDOSTA, GA, 316022512Browse GA providers · Browse ZIP 31602
- Phone
- 2294338160
- Fax
- 2292442707
- Primary Specialty
-
Hospice and Palliative Medicine
207RI0011X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Cardiovascular Disease
- Additional Specialty
- Nuclear Cardiology
- Additional Specialty
- 2471C3401X
Other Hospice and Palliative Medicine Providers in VALDOSTA, GA
| Name | Credential | NPI |
|---|---|---|
| MR. DARYOOSH DERAKHSHAN | D.O. | 1881936631 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.