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Individual

SCOTT K LUCAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1265 S UTICA AVE STE 300, TULSA, OK 74104-4243
(918) 592-0999
(918) 592-1021
Mailing address
18708 OTTER CREEK DR, EDMOND, OK 73012-4126
(405) 990-4930
(405) 758-5582

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
11551
OK
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
11551
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100824420A
OK
01
10873577
CAQH
OK
Enumeration date
10/04/2005
Last updated
08/13/2025
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