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Individual

DR. PETER B. LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10191 NE BEACH CREST DR, BAINBRIDGE ISLAND, WA 98110-1368
(206) 713-8713
(066) 738-2612
Mailing address
10191 NE BEACH CREST DR, BAINBRIDGE IS, WA 98110-1368
(206) 713-8713
(206) 673-8261

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
G50158
CA
2084P0800X
Psychiatry Physician
Primary
MD00031243
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00031243
MEDICAL LICENSE
WA
05
8196461
WA
01
G50158
MEDICAL LICENSE
CA
Enumeration date
12/27/2006
Last updated
09/18/2025
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