Individual
SCOTT WILLIAM LUCAS
Active
Individual
SCOTT WILLIAM LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
07/13/2026
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