Individual
DR. LUCAS WILLIAM THORNBLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(206) 543-3687
Mailing address
1500 DUARTE RD, DUARTE, CA 91010-3012
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
A161336
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2012
Last updated
08/09/2019
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