Individual
LAUREN LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1040 WISHARD BLVD, INDIANAPOLIS, IN 46202-2872
(317) 278-1090
Mailing address
5359 W FULLERTON AVE, CHICAGO, IL 60639-1450
(773) 836-2785
(773) 836-7381
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125081689
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
11023978A
IN
Other
Enumeration date
05/31/2023
Last updated
05/08/2025
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