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Organization

PETER LUCAS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER LUCAS MD (OWNER)
(206) 713-8713
Entity
Organization

Contact information

Practice address
10191 NE BEACH CREST DR, BAINBRIDGE ISLAND, WA 98110-1368
(206) 713-8713
Mailing address
10191 NE BEACH CREST DR, BAINBRIDGE ISLAND, WA 98110-1368
(206) 713-8713

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00031243
MEDICAL LICENSE
WA
01
G50158
STATE LICENSE
CA
Enumeration date
06/15/2020
Last updated
09/18/2025
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