Individual
BEN LUCAS-ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3291 LOMA VISTA RD, VENTURA, CA 93003-3099
(805) 652-6228
Mailing address
3291 LOMA VISTA RD, VENTURA, CA 93003-3099
(805) 652-6228
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A129522
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2012
Last updated
08/10/2015
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