Individual
DR. ROBERT WADE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD DMD
Contact information
Practice address
330 THOMAS MORE PARKWAY, SUITE 101, CRESTVIEW HILLS, KY 41017
(859) 578-9000
(589) 578-9815
Mailing address
330 THOMAS MORE PARKWAY, SUITE 101, CRESTVIEW HILLS, KY 41017
(859) 578-9000
(589) 578-9815
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
33036
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33036
MEDICAL
KY
01
—
7555
DENTAL
KY
Enumeration date
08/30/2006
Last updated
10/14/2011
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