Individual
DR. STEPHEN K LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3320 OLD JEFFERSON RD, SUITE 200A, ATHENS, GA 30607-1400
(706) 549-5560
(706) 543-2593
Mailing address
3320 OLD JEFFERSON RD, SUITE 200A, ATHENS, GA 30607-1400
(706) 549-5560
(706) 543-2593
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29474
GA
207RP1001X
Pulmonary Disease Physician
Primary
24974
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000264668A
—
GA
Enumeration date
09/19/2005
Last updated
02/17/2009
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