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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