Individual
LUCAS CASUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8800 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2310
(505) 462-6400
(505) 462-6506
Mailing address
PO BOX 26666, S PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2002 0248
NM
207R00000X
Internal Medicine Physician
G073467
CA
Other
Enumeration date
01/02/2007
Last updated
04/27/2016
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