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Individual
JASON LUCAS
Active
Individual
JASON LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
074483
GA
207R00000X
Internal Medicine Physician
A124216
CA
208M00000X
Hospitalist Physician
Primary
074483
GA
Other
Enumeration date
04/06/2009
Last updated
02/01/2016
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