Individual
DR. MATTHEW J LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5674
(912) 435-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5674
(912) 435-6965
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
936
NE
Other
Enumeration date
06/23/2011
Last updated
09/02/2016
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