Individual
JOSEPHINE A. LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
701 ENTERPRISE RD E, SUITE 910, SAFETY HARBOR, FL 34695-5350
(727) 796-6900
Mailing address
1154 SEDGEFIELD CT, OLDSMAR, FL 34677-4843
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO2626
FL
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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