Individual
DR. LUKE WILSON LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1506 E BROADWAY, SUITE 303, COLUMBIA, MO 65201-8078
(573) 874-4177
(573) 874-4198
Mailing address
1506 E BROADWAY, SUITE 303, COLUMBIA, MO 65201-8078
(573) 874-4177
(573) 874-4198
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R9237
MO
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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