Individual
ALAN PAUL LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 SE STRATUS AVE, MCMINNVILLE, OR 97128-6255
(503) 435-6441
(503) 435-6445
Mailing address
2700 SE STRATUS AVE, MCMINNVILLE, OR 97128-6255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD188951
OR
208000000X
Pediatrics Physician
MD188951
OR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/30/2014
Last updated
01/08/2019
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