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Individual

DR. LUCAS M MCELWAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
625 19TH ST S, BIRMINGHAM, AL 35249
(205) 975-6649
(205) 975-5870
Mailing address
625 19TH ST S, BIRMINGHAM, AL 35249
(205) 975-6649
(205) 975-5870

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
T-2463
MS
390200000X
Student in an Organized Health Care Education/Training Program
33288
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
T-2463
TEMP. LICENSE #
MS
Enumeration date
07/05/2011
Last updated
07/01/2016
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