Individual
JOHN A LUCAS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 TVC, NASHVILLE, TN 37232-0001
(615) 322-3000
Mailing address
3601 TVC, NASHVILLE, TN 37232-0001
(615) 322-3000
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
6821
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009901495
—
AL
05
—
009937555
—
AL
01
—
051510346
BLUE CROSS
AL
05
—
051510346
—
AL
01
—
051510347
BLUE CROSS
AL
01
—
051518369
BLUE CROSS
AL
01
—
160058392
RAILROAD MEDICARE
AL
Enumeration date
07/03/2006
Last updated
05/02/2012
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