Individual
JOHN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
22 JEFFERSON AVE, WATERTOWN, MA 02472-3144
(617) 529-1494
Mailing address
22 JEFFERSON AVE, WATERTOWN, MA 02472-3144
(617) 529-1494
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN2311304
MA
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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