Individual
DR. JUSTIN FRANCIS LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(205) 744-3267
(206) 744-3227
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
(916) 734-7904
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD60739523
WA
207XX0801X
Orthopaedic Trauma Physician
Primary
MD60739523
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356600605
—
WA
01
—
8966618
MEDICARE PIN
WA
Enumeration date
05/08/2012
Last updated
07/21/2022
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