Individual
GERALD L LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 E HIGHLAND AVE, SUITE # 130, PHOENIX, AZ 85016-4872
(602) 283-2345
(602) 283-3039
Mailing address
1760 E RIVER RD, SUITE 350, TUCSON, AZ 85718-5877
(520) 519-7775
(520) 519-7910
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
21011
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116477
AHCCCS
AZ
01
—
86-0938204
TAX ID
AZ
Enumeration date
04/14/2006
Last updated
03/07/2018
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