Individual
THOMAS GARY LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6211 WEST 30TH STREET, SUITE A, SPEEDWAY, IN 46224-3025
(317) 297-7475
(317) 280-1442
Mailing address
6211 WEST 30TH STREET, SUITE A, SPEEDWAY, IN 46224-3025
(317) 297-7475
(317) 280-1442
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12007556
IN
Other
Enumeration date
05/20/2008
Last updated
02/28/2017
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