Individual
TIMOTHY H LUCAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 SUPERIOR AVE STE 290, NEWPORT BEACH, CA 92663-3664
(949) 764-4500
(949) 764-4499
Mailing address
510 SUPERIOR AVE STE 290, NEWPORT BEACH, CA 92663-3664
(949) 764-4500
(949) 764-4499
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35143269
OH
207T00000X
Neurological Surgery Physician
MD444576
PA
207T00000X
Neurological Surgery Physician
ML20007025
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0469144
—
OH
Enumeration date
08/20/2006
Last updated
07/01/2025
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