Individual
LUCAS TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 E ROSSER AVE, BISMARCK, ND 58501-4457
(701) 751-9500
(701) 751-9508
Mailing address
701 E ROSSER AVE, BISMARCK, ND 58501-4457
(701) 751-9500
(701) 751-9508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RL16707
ND
208M00000X
Hospitalist Physician
Primary
20123
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1459002
—
ND
Enumeration date
07/01/2020
Last updated
02/01/2024
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