Individual
DR. LUCAS SHAWN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34 PARK ST, #168, NEW HAVEN, CT 06519-1109
(203) 974-7300
Mailing address
34 PARK ST, #168, NEW HAVEN, CT 06519-1109
(203) 974-7300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
RP21043
MN
2084P0804X
Child & Adolescent Psychiatry Physician
036127319
IL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
053072
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2008
Last updated
07/28/2014
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