Individual
ROBERT JAMES LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS PAC
Contact information
Practice address
17 OLD KINGS HIGHWAY SOUTH, A & M SURGERY, DARIEN, CT 06820
(203) 656-0402
(203) 656-4467
Mailing address
17 OLD KINGS HIGHWAY SOUTH, A & M SURGERY, DARIEN, CT 06820
(203) 656-0402
(203) 656-4467
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000371
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000371
DEPT HEALTH LICENSE
CT
01
—
1013289
NCCPA
—
Enumeration date
05/30/2007
Last updated
07/08/2007
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