Individual
ELLIOTT W LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 KINGSLEY LN, SUITE 100, NORFOLK, VA 23505-4604
(757) 889-6890
(757) 889-6893
Mailing address
100 KINGSLEY LN, SUITE 100, NORFOLK, VA 23505-4604
(757) 889-6890
(757) 889-6893
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101042387
VA
207V00000X
Obstetrics & Gynecology Physician
D69405
MD
Other
Enumeration date
09/22/2006
Last updated
10/27/2020
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