Individual
DR. JASON WAYNE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1600 ALICE ST, WAYCROSS, GA 31501-4533
(912) 285-3140
Mailing address
1600 ALICE ST, WAYCROSS, GA 31501-4533
(912) 285-3140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013726
GA
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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