Provider Demographics
NPI:1972035707
Name:BIDER, LUCAS W (MD)
Entity Type:Individual
Prefix:
First Name:LUCAS
Middle Name:W
Last Name:BIDER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:901 E 104TH ST # MS 400S
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-4517
Mailing Address - Country:US
Mailing Address - Phone:816-502-8752
Mailing Address - Fax:816-932-9670
Practice Address - Street 1:120 NE SAINT LUKES BLVD STE 200
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-6011
Practice Address - Country:US
Practice Address - Phone:816-246-4302
Practice Address - Fax:816-246-9493
Is Sole Proprietor?:No
Enumeration Date:2017-03-30
Last Update Date:2021-07-09
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Provider Licenses
StateLicense IDTaxonomies
MO20210149022081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine