Individual
BRIAN PETER LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
163 VETERANS DR, WHITE RIVER JUNCTION, VT 05009-0001
(802) 295-9363
Mailing address
215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
(802) 295-9363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-102128
IL
207R00000X
Internal Medicine Physician
Primary
17068
NH
Other
Enumeration date
07/03/2006
Last updated
09/04/2015
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