Individual
DR. LUCAS J POLICASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 W 5TH ST, RINCON, GA 31326-8801
(201) 497-0053
(201) 831-9100
Mailing address
302 W 5TH ST, RINCON, GA 31326-8801
(201) 497-0053
(201) 831-9100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
84180
GA
Other
Enumeration date
04/26/2017
Last updated
10/30/2020
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