Individual
JOHN LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6505 PICARDIA PL NW, ALBUQUERQUE, NM 87120-7043
(307) 186-1379
Mailing address
6505 PICARDIA PL NW, ALBUQUERQUE, NM 87120-7043
(307) 186-1379
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
92-100
NM
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
92-100
NM
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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