Individual
DR. EDDY LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 E HARRY ST, WICHITA, KS 67218-3713
(913) 642-4900
(913) 381-0979
Mailing address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 689-5050
(316) 689-6192
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
0427571
KS
2085N0700X
Neuroradiology Physician
0427571
KS
2085P0229X
Pediatric Radiology Physician
0427571
KS
2085R0202X
Diagnostic Radiology Physician
Primary
0427571
KS
2085R0203X
Therapeutic Radiology Physician
0427571
KS
2085R0204X
Vascular & Interventional Radiology Physician
0427571
KS
2085U0001X
Diagnostic Ultrasound Physician
0427571
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100197900A
—
OK
05
—
100313220H
—
KS
05
—
1205832698
—
MO
01
—
P00628030
RR MEDICARE
KS
Enumeration date
06/22/2005
Last updated
10/31/2011
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