Individual
MELISSA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 MADISON RD, 3RD FLOOR, WALNUT HILLS, OH 45206-1706
(513) 354-5238
(513) 354-5237
Mailing address
1501 MADISON RD, 3RD FLOOR, WALNUT HILLS, OH 45206-1706
(513) 354-5238
(513) 354-5237
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
31565
KY
207Q00000X
Family Medicine Physician
Primary
35055541
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0675292
—
OH
05
—
64064439
—
OH
Enumeration date
04/25/2006
Last updated
04/21/2015
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