Individual
DR. AARON E LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4402 CHURCHMAN AVE, LOUISVILLE, LOUISVILLE, KY 40215-1190
(502) 366-8825
(502) 366-0044
Mailing address
1412 SAINT JAMES CT, LOUISVILLE, LOUISVILLE, KY 40208-2127
(502) 366-8825
(502) 366-0044
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
17917
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
17917
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
32579
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051437
ANTHEM FACET
KY
05
—
100004400
—
IN
01
—
1048808
PASSPORT
KY
01
—
2432227000
PASSPORT ADVTAGE
KY
05
—
64179179
—
KY
Enumeration date
08/14/2006
Last updated
07/08/2007
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