Individual
DR. TODD JEFFERSON LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1265 E COLLEGE ST, SUITE 9, PULASKI, TN 38478-4541
(931) 424-9069
(931) 424-9079
Mailing address
1265 E COLLEGE ST, SUITE 9, PULASKI, TN 38478-4541
(931) 424-9069
(931) 424-9079
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39634
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3332157
—
TN
Enumeration date
07/20/2005
Last updated
07/29/2008
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