Individual
DR. NATHAN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2900 KIRBY RD, SUITE 5, MEMPHIS, TN 38119-8221
(901) 309-8898
(901) 309-5908
Mailing address
2900 KIRBY RD, SUITE 5, MEMPHIS, TN 38119-8221
(901) 309-8898
(901) 309-5908
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
481
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33525181
MEDICARE PTAN
TN
01
—
4259570001
DMERC
TN
Enumeration date
04/26/2006
Last updated
04/09/2020
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