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Individual

MARTIN K LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1315 GOLDEN VALLEY CIR, BILLINGS, MT 59102-6746
(406) 238-6290
(406) 238-6961
Mailing address
PO BOX 30976, BILLINGS, MT 59107-0976
(406) 238-6290
(406) 238-6961

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
6459A
WY
207RH0003X
Hematology & Oncology Physician
Primary
9626
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000092621
BLUE CROSS
MT
05
0045448
MT
05
115662400
WY
01
310594
BLUE CROSS
WY
01
810511516009
EBMS
MT
Enumeration date
11/15/2005
Last updated
02/10/2011
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