Individual
DR. JOHN CLARK LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10810 CONNECTICUT AVENUE, KENSINGTON, MD 20895
(301) 929-7100
(301) 929-7114
Mailing address
2101 EAST JEFFERSON STREET, KAISER PERMANENTE, PPQA, 6 WEST, ATTN: THERESA BROOKS, ROCKVILLE, MD 20852
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D55154
MD
207Q00000X
Family Medicine Physician
MD035183
DC
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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