Individual
DR. LUCAS MATTHEW DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8051 SOUTH EMERSON AVE, INDIANAPOLIS, IN 46237-8632
(317) 865-2955
(317) 865-2944
Mailing address
8051 SOUTH EMERSON AVE, SUITE 200, INDIANAPOLIS, IN 46237-8632
(317) 865-2955
(317) 865-2944
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01069652A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201023420
—
IN
01
—
M400049541
MEDICARE
IN
Enumeration date
10/24/2006
Last updated
03/09/2020
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