Individual
JONATHAN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1104 N MISSION RD, LOS ANGELES, CA 90033-1017
(323) 343-0522
Mailing address
1104 N MISSION RD, LOS ANGELES, CA 90033-1017
(323) 343-0522
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
A60527
CA
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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