Individual
ROBERT M LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1730 PRAIRIE CITY RD STE 120, FOLSOM, CA 95630-9594
(916) 351-4800
(916) 357-6194
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
24406
NE
207X00000X
Orthopaedic Surgery Physician
Primary
A114459
CA
207X00000X
Orthopaedic Surgery Physician
MD60444477
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982759320
—
WA
01
—
24406
UNITED STATES NAVY
NE
01
—
A114459
CALIFORNIA LICENSE
CA
01
—
MD60444477
WASHINGTON LICENSE
WA
Enumeration date
01/24/2007
Last updated
02/08/2019
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