Organization
LUCAS BINGHAM M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCAS GARDNER BINGHAM M.D. (DERMATOLOGIST)
(801) 830-7222
Entity
Organization
Contact information
Practice address
600 CORPORATE DR STE 100, LADERA RANCH, CA 92694
(949) 388-8022
(949) 388-8033
Mailing address
600 CORPORATE DR STE 100, LADERA RANCH, CA 92694-2107
(949) 388-8022
(949) 388-8033
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A104512
CA
Other
Enumeration date
09/11/2013
Last updated
10/23/2018
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