Individual
PATRICK MCKEON LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1331 PRAIRIE AVE, CHEYENNE, WY 82009-4867
(307) 778-3121
Mailing address
4729 KING ARTHUR WAY, 90 MDG, CHEYENNE, WY 82009-5114
(307) 214-9198
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
342
WY
Other
Enumeration date
11/14/2005
Last updated
07/08/2007
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