Individual
JOHN T LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
1088 GRAVES RD, STAMPING GROUND, KY 40379-9719
(214) 227-2457
(214) 764-0880
Mailing address
1088 GRAVES RD, STAMPING GROUND, KY 40379-9719
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
CSA3419
KY
Other
Enumeration date
11/10/2009
Last updated
11/05/2019
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