Individual
KALEB LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
430 W MARKET ST, SNOW HILL, MD 21863-1127
(410) 632-3755
Mailing address
PO BOX 7411009, CHICAGO, IL 60674-3009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C1-0029438
DE
207R00000X
Internal Medicine Physician
D0100669
MD
208M00000X
Hospitalist Physician
Primary
D0100669
MD
Other
Enumeration date
06/14/2021
Last updated
04/08/2026
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