Organization
NORTHSIDE GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI J LUCAS M.D. (PRESIDENT)
(404) 252-9307
Entity
Organization
Contact information
Practice address
980 JOHNSON FERRY RD NE, SUITE 820, ATLANTA, GA 30342-1626
(404) 252-9307
(404) 252-5839
Mailing address
980 JOHNSON FERRY RD NE, SUITE 820, ATLANTA, GA 30342-1626
(404) 252-9307
(404) 252-5839
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036306
GA
Other
Enumeration date
01/02/2007
Last updated
02/12/2008
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