Individual
DR. PHILLIP R LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 DUDLEY ST, PROVIDENCE, RI 02905-3236
(401) 457-2102
Mailing address
2 DUDLEY ST, PROVIDENCE, RI 02905-3236
(401) 457-2102
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
4751
RI
Other
Enumeration date
04/25/2006
Last updated
09/23/2011
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