Individual
JUDITH KASSNER LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-5911
(352) 265-5606
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
ME0075032
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME75032
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253472000
—
FL
01
—
42767
BCBS
FL
Enumeration date
09/16/2006
Last updated
03/07/2014
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