Individual
LUCAS ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
(480) 728-3753
Mailing address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
67132
AZ
207P00000X
Emergency Medicine Physician
R77933
AZ
Other
Enumeration date
04/22/2020
Last updated
06/15/2023
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