Individual
DR. DOLORES J LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
127 CRESTVIEW PARK DR, DICKSON, TN 37055-2850
(615) 446-5121
(615) 446-1357
Mailing address
127 CRESTVIEW PARK DR, DICKSON, TN 37055-2850
(615) 446-5121
(615) 446-1357
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD30869
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070015085
RAILROAD MEDICARE PIN
—
01
—
3158200
BLUE CROSS BLUE SHIELD TN
TN
05
—
3851191
—
TN
Enumeration date
05/23/2005
Last updated
10/04/2011
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