Individual
MARVIN H LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4803 MONTGOMERY RD STE 120, CINCINNATI, OH 45212-1153
(513) 631-2474
(513) 531-0862
Mailing address
4803 MONTGOMERY RD STE 120, CINCINNATI, OH 45212-1153
(513) 631-2474
(513) 531-0862
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35063533L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0987142
—
OH
Enumeration date
04/12/2006
Last updated
10/21/2020
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