Kenneth G Lucas MD

NPI 1093762098 - Pediatrics - 208000000X

NPI Details
NPI 1093762098
Gender Male
Enumeration Date 05/27/2006
Last Updated 09/09/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
210 E GRAY ST
STE 601
LOUISVILLE KY, 40202-3902, US
Phone (502) 588-3600
Fax (502) 588-9536
Business Location
PO BOX 909
LOUISVILLE KY, 40201-0909, US
Phone (502) 588-3600
Fax (502) 588-9536
Toxanomy
Taxonomy Code 208000000X
License State Kentucky
License Number 45363
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According to our database, Kenneth G Lucas MD NPI is 1093762098, taxonomy code is 208000000X and license number is 45363, license state is located at Kentucky. Kenneth G Lucas MD physically located at 210 E Gray St, Louisville KY, 40202-3902. NPI Number Kenneth G Lucas MD has the Individual type.

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1093762098 NPI number is provided on an as is basis without warranty of any kind. 1093762098 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth G Lucas MD are for informational purposes only.