Individual
DR. WALTER WAYNE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5270 BUDAPEST PL, HEALTH UNIT, DULLES, VA 20189-5270
(361) 475-4092
(361) 311-1802
Mailing address
5270 BUDAPEST PL, HEALTH UNIT, DULLES, VA 20189-5270
(361) 475-4092
(361) 311-1802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00018340
WA
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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