Individual
MR. CLAYTON LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPA
Contact information
Practice address
224 SPRINGTREE DR, HARRAH, OK 73045-4517
(918) 315-1001
Mailing address
224 SPRINGTREE DR, HARRAH, OK 73045-4517
(918) 315-1001
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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