Individual
LUCAS WILLIAM MITCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10580 N MERIDIAN ST, INDIANAPOLIS, IN 46290-1028
(317) 583-5000
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01064009A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200984320
—
IN
Enumeration date
04/01/2008
Last updated
02/12/2015
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