Individual
JOANNE BRYAN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 971-6000
(813) 972-5753
Mailing address
12479 TELECOM DR, TEMPLE TERRACE, FL 33637-0913
(813) 972-4199
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME97884
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278388600
—
FL
01
—
90300
BCBS OF FLA
FL
Enumeration date
06/13/2007
Last updated
01/30/2014
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