Individual
DR. DANIEL NATHAN LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11209 N TATUM BLVD, PHOENIX, AZ 85028-3091
(602) 248-8002
(602) 248-8399
Mailing address
PO BOX 745249, LOS ANGELES, CA 90074-5249
(800) 475-3698
(706) 653-1162
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
19560
AZ
2085R0202X
Diagnostic Radiology Physician
0101288870
VA
2085R0202X
Diagnostic Radiology Physician
036131854
IL
2085R0202X
Diagnostic Radiology Physician
C1-0025605
DE
2085R0202X
Diagnostic Radiology Physician
Primary
MD158097
OR
2085R0202X
Diagnostic Radiology Physician
ME139580
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002189
AHCCCS
AZ
01
—
1Z7049
HEALTHNET
AZ
01
—
AZ0324990
BCBS
AZ
Enumeration date
05/04/2006
Last updated
05/08/2026
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