Individual
DR. BETHANY D LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
413 S LOOP RD, EDGEWOOD, KY 41017-5446
(859) 301-3800
(859) 301-3987
Mailing address
413 S LOOP RD, EDGEWOOD, KY 41017-5446
(859) 301-3800
(859) 301-3987
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R1303
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R1303
STATE LICENSE
KY
Enumeration date
02/13/2009
Last updated
03/07/2023
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