Individual
LUCAS AKIHIKO PUTTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 880-7812
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A18378
CA
207R00000X
Internal Medicine Physician
DO.1975
AL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
20A18378
CA
208000000X
Pediatrics Physician
20A18378
CA
208M00000X
Hospitalist Physician
20A18378
CA
Other
Enumeration date
03/28/2015
Last updated
07/07/2025
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