Individual
JAMES LUCAS MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3901 RAINBOW BLVD # MS 4015, KANSAS CITY, KS 66160-8500
(913) 588-6412
(913) 588-6414
Mailing address
3901 RAINBOW BLVD # MS 4015, KANSAS CITY, KS 66160-8500
(913) 588-6412
(913) 588-6414
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2023025132
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
07/02/2023
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