Lucus Dean Shelton, DO
Anesthesiology in Murray, UT. Individual provider (NPI-1).
NPI number1669899720
StatusActive
Last updated in NPPESJun 12, 2018
Details
- NPI
- 1669899720
- Entity type
- Individual (NPI-1)
- Name
- Lucus Dean Shelton
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 26, 2014
- Last updated
- Jun 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 10742194-1204 | UT | Yes |
| 207L00000X | Anesthesiology | 125.064786 | IL |
Practice location
5121 S Cottonwood StMurray, UT 84107
Phone 801-507-7000 · Fax 770-701-6675
Mailing address
Po Box 3570Salt Lake City, UT 84110-3570
Phone 801-727-2056 · Fax 770-701-6675
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