Individual
JUSTIN ROLAND LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2605 BLUE RIDGE RD STE 300, RALEIGH, NC 27607-6475
(919) 787-3448
(919) 232-0006
Mailing address
5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 27560-5490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023-01295
NC
390200000X
Student in an Organized Health Care Education/Training Program
250421
NC
Other
Enumeration date
04/08/2019
Last updated
02/20/2025
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