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Organization
LUCAS FAMILY MEDICINE PLLC
Active
Organization
LUCAS FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHON EDWARD LUCAS (CO-OWNER/ MANAGER)
(423) 444-3368
Entity
Organization
Contact information
Practice address
473 N 12TH ST, MIDDLESBORO, KY 40965-1133
(423) 444-3368
Mailing address
403 SHARPES WOODS RD, PINEVILLE, KY 40977-7539
(423) 444-3368
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/10/2023
Last updated
01/31/2024
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