Individual
DR. PHILLIP H LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
136 EAST SPRING STREET, COOKEVILLE, TN 38501-3208
(931) 854-1011
(931) 854-1335
Mailing address
136 EAST SPRING STREET, COOKEVILLE, TN 38501-3208
(931) 854-1011
(931) 854-1335
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
09840
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124463
—
MS
Enumeration date
06/22/2006
Last updated
10/06/2010
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