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Organization

LUCAS MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN MIKOLASKO MD MBA MS (CHIEF EXECUTIVE OFFICER)
(626) 319-5932
Entity
Organization

Contact information

Practice address
2109 HARTFORD AVE, JOHNSTON, RI 02919-3246
(626) 319-5932
Mailing address
73 SOWAMS RD, BARRINGTON, RI 02806-4602
(626) 319-5932
(626) 380-2395

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
10/01/2024
Last updated
01/26/2026
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