Individual
LINDSAY T LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1865 LPGA BLVD, DAYTONA BEACH, FL 32117-7108
(386) 255-4596
(386) 254-6819
Mailing address
1865 LPGA BLVD, DAYTONA BEACH, FL 32117-7108
(386) 255-4596
(386) 254-6819
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME157811
FL
207XX0801X
Orthopaedic Trauma Physician
88948
GA
207XX0801X
Orthopaedic Trauma Physician
ME157811
FL
208600000X
Surgery Physician
LL39325
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115681400
—
FL
Enumeration date
05/09/2016
Last updated
11/20/2024
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