Individual
LORI JEAN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
980 JOHNSON FERRY RD NE, SUITE 820, ATLANTA, GA 30342-1626
(404) 252-9307
(404) 252-5839
Mailing address
550 PEACHTREE ST NE, SUITE 1600, ATLANTA, GA 30308-2208
(404) 881-1094
(404) 874-1249
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
27083
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB5609
RR MEDICARE
—
Enumeration date
03/29/2006
Last updated
12/14/2010
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