Organization
KIM M LUCAS MD PLLC
Active
Other names
Integrated Associates in Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MYRIAM LUCAS M.D. (OWNER)
(480) 775-4110
Entity
Organization
Contact information
Practice address
1968 E. BASELINE RD. STE. F101, TEMPE, AZ 85283
(480) 775-4110
(480) 413-1818
Mailing address
1968 E. BASELINE RD. STE. F101, TEMPE, AZ 85283
(480) 775-4110
(480) 413-1818
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
22059
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03D0973410
CLIA
AZ
01
—
22059
STATE LIC
AZ
Enumeration date
03/23/2006
Last updated
03/07/2023
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