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Individual
DR. GREGORY CHARLES LUCAS
Active
Individual
DR. GREGORY CHARLES LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1134
SC
111N00000X
Chiropractor
Primary
1513
OH
111N00000X
Chiropractor
4296
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000136021
ANTHEM INSURANCE
OH
Enumeration date
06/26/2005
Last updated
03/25/2013
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