Individual
GARY JOSHUA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3124 S 19TH ST STE C220, TACOMA, WA 98405-2481
(253) 301-5050
(253) 301-5070
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD61165332
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2017
Last updated
05/08/2024
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