Individual
LISA W LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
42 MALLETT DR STE 3, FREEPORT, ME 04032-1355
(207) 869-5815
Mailing address
42 MALLETT DR STE 3, FREEPORT, ME 04032-1355
(207) 869-5815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2648
ME
Other
Enumeration date
01/05/2010
Last updated
02/16/2020
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