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Individual

DR. CHARLES S LUCAS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1555 HOWELL BRANCH RD, SUITE B2, WINTER PARK, FL 32789-1109
(407) 644-6465
(407) 647-4251
Mailing address
1555 HOWELL BRANCH RD, SUITE B2, WINTER PARK, FL 32789-1109
(407) 644-6465
(407) 647-4251

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME14577
FL

Other

Enumeration date
10/19/2005
Last updated
07/08/2007
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