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Individual

LUCAS GOLUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1900 PERRY BLVD NW, ATLANTA, GA 30318-3500
(470) 890-0900
Mailing address
12900 PARK PLAZA DR STE 150, CERRITOS, CA 90703-9329
(562) 977-4639
(714) 741-4479

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
074186
GA
207R00000X
Internal Medicine Physician
2019-02563
NC

Other

Enumeration date
04/24/2012
Last updated
05/06/2024
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