Individual
GREGORY LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D51767
MD
207RI0200X
Infectious Disease Physician
D51767
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242200000
—
MD
Enumeration date
06/21/2006
Last updated
05/09/2023
Update your record
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