Individual
DR. LUCAS M BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
660 S MOUNT JULIET RD STE 120, MT JULIET, TN 37122-3968
(615) 656-7859
Mailing address
660 S MOUNT JULIET RD STE 120, MT JULIET, TN 37122-3968
(615) 656-7859
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
287468
NY
207YS0123X
Facial Plastic Surgery Physician
Primary
57875
TN
Other
Enumeration date
05/19/2012
Last updated
10/23/2020
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