Individual
LUCAS SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1130 W MICHIGAN STREET, FESLER HALL 204, INDIANAPOLIS, IN 46202-5209
(317) 274-0275
Mailing address
1130 W MICHIGAN STREET, FESLER HALL 204, INDIANAPOLIS, IN 46202-5209
(317) 274-0275
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1477257293
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
05/17/2024
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