Individual
MR. RANDALL CARL LUCAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
TECHNICIAN
Contact information
Practice address
599 TOMALES RD, PETALUMA, CA 94952-5002
(707) 765-7200
(707) 765-7521
Mailing address
599 TOMALES RD, PETALUMA, CA 94952-5002
(707) 765-7200
(707) 765-7521
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/08/2006
Last updated
09/06/2023
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