Individual
LUCAS MEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
366 MDG/CSS, 90 HOPE DR. BLDG. 6000, MOUNTAIN HOME AFB, ID 83648
(208) 828-6806
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-9100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101276833
VA
208D00000X
General Practice Physician
0101276833
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/01/2021
Last updated
07/01/2025
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