Individual
DR. JUDITH ANNE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
391 MYRTLE AVE, SUITE 3B, ALBANY, NY 12208
(518) 262-5401
(518) 262-4450
Mailing address
391 MYRTLE AVE, SUITE 3B, ALBANY, NY 12208
(518) 262-5401
(518) 262-4450
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
198646
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01585717
—
NY
Enumeration date
08/29/2005
Last updated
09/06/2019
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