Dale R Lucus MD

NPI 1063494979 - Family Medicine - 207Q00000X

NPI Details
NPI 1063494979
Gender Male
Enumeration Date 11/16/2005
Last Updated 07/11/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
800 COUNTY ROAD 1224
CLEBURNE TX, 76033-8505, US
Phone (817) 641-1777
Fax
Business Location
800 COUNTY ROAD 1224
CLEBURNE TX, 76033-8505, US
Phone (817) 641-1777
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number E6131
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According to our database, Dr. Dale R Lucus MD NPI is 1063494979, taxonomy code is 207Q00000X and license number is E6131, license state is located at Texas. Dale R Lucus MD physically located at 800 County Road 1224, Cleburne TX, 76033-8505. NPI Number Dale R Lucus MD has the Individual type.

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1063494979 NPI number is provided on an as is basis without warranty of any kind. 1063494979 is maintained by the National Plan & Provider Enumeration System. The contents of Dale R Lucus MD are for informational purposes only.