Individual
DR. DANIELLA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6913
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6913
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125071537
IL
207P00000X
Emergency Medicine Physician
Primary
ME150966
FL
Other
Enumeration date
07/07/2017
Last updated
07/08/2021
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