Individual
DR. LUCAS JOHN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
221855
MA
207L00000X
Anesthesiology Physician
Primary
237125
MA
Other
Enumeration date
11/21/2006
Last updated
11/21/2023
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