Individual
KIM L LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5620 W THUNDERBIRD RD, SUITE C-1, GLENDALE, AZ 85306-4636
(602) 938-6960
(602) 938-6069
Mailing address
5620 W THUNDERBIRD RD, SUITE F-1, GLENDALE, AZ 85306-4636
(602) 938-6960
(602) 938-6069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22059
AZ
Other
Enumeration date
11/27/2007
Last updated
06/26/2014
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