Individual
SCOTT WILLIAM LUCAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 15TH AVE S, GREAT FALLS, MT 59405
(406) 454-2171
(406) 771-3021
Mailing address
1400 29TH ST S, GREAT FALLS, MT 59405
(406) 454-2171
(406) 771-3021
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
4301058724
MI
2086S0120X
Pediatric Surgery Physician
Primary
9972
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146978
—
MT
Enumeration date
01/25/2006
Last updated
07/08/2007
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