Individual
MR. CARL VINCENT LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1542 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2212
(765) 301-7300
Mailing address
5575 CRYSTAL BAY WEST DR, PLAINFIELD, IN 46168-9259
(317) 989-7879
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71009306A
IN
Other
Enumeration date
09/01/2019
Last updated
03/31/2021
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