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Individual
MR. CARL VINCENT LUCAS
Active
Individual
MR. CARL VINCENT LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71009306A
IN
Other
Enumeration date
09/01/2019
Last updated
03/31/2021
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