Dr Mark Anthony Lucas, DC | |
1261 Lincoln Ave, 112, San Jose, CA 95125-3006 | |
(408) 294-4074 | |
Not Available |
Full Name | Dr Mark Anthony Lucas |
---|---|
Gender | Male |
Speciality | Chiropractor - Nutrition |
Location | 1261 Lincoln Ave, San Jose, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578648135 | NPI | - | NPPES |
DC0281210 | Other | CA | CALIFORNIA PROVIDER I.D. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NN1001X | Chiropractor - Nutrition | DC28121 (California) | Primary |
Mailing Address | Practice Location Address |
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Dr Mark Anthony Lucas, DC 1040 Paula St, San Jose, CA 95126-3824 Ph: (408) 297-7640 | Dr Mark Anthony Lucas, DC 1261 Lincoln Ave, 112, San Jose, CA 95125-3006 Ph: (408) 294-4074 |
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