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Individual
DR. LUCAS SHAWN HENRY
Active
Individual
DR. LUCAS SHAWN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
RP21043
MN
2084P0804X
Child & Adolescent Psychiatry Physician
036127319
IL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
053072
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2008
Last updated
07/28/2014
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