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Organization

THE LUCAS CENTER, PLASTIC SURGERY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAY H LUCAS M.D. (CHIEF OFFICER/OWNER/PHYSICIAN)
(865) 218-6210
Entity
Organization

Contact information

Practice address
10810 PARKSIDE DR, SUITE 310, KNOXVILLE, TN 37934
(865) 218-6210
(865) 218-6211
Mailing address
10810 PARKSIDE DR, SUITE 310, KNOXVILLE, TN 37934
(865) 218-6210
(865) 218-6211

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD0000036890
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3879545
TN
Enumeration date
08/29/2012
Last updated
08/29/2012
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