Individual
DR. STEPHEN L LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
423 SAND CREEK DR, CHESTERTON, IN 46304-1552
(219) 926-8618
(219) 926-6930
Mailing address
423 SAND CREEK DR, CHESTERTON, IN 46304-1552
(219) 926-8618
(219) 926-6930
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12007880A
IN
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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