Individual
DR. PETER H. LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
515 E JOPPA RD, TOWSON, MD 21286-5418
(410) 321-5700
Mailing address
9 WINEBERRY CT, GLEN ARM, MD 21057-9138
(410) 882-9025
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
6912
MD
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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