Individual
DR. CHRISTOPHER J LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
647 DUNLOP LN 203, CLARKSVILLE, TN 37040-5165
(931) 502-3700
(931) 502-3705
Mailing address
647 DUNLOP LN 203, CLARKSVILLE, TN 37040-5165
(931) 502-3700
(931) 502-3705
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
DO0000001524
TN
2086S0129X
Vascular Surgery Physician
Primary
DO0000001524
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3307461
—
TN
Enumeration date
06/28/2006
Last updated
09/17/2020
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