| Lucas Medical | |
|
1751 N Stockton Hill Rd Ste B Kingman AZ 86401-6601 | |
| (928) 715-9258 | |
| Not Available |
| Full Name | Lucas Medical |
|---|---|
| Speciality | Clinic/center |
| Location | 1751 N Stockton Hill Rd Ste B, Kingman, Arizona |
| Authorized Official Name and Position | Marlie Elaine Lucas (FNP, OWNER) |
| Authorized Official Contact | 9287159258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucas Medical 1751 N Stockton Hill Rd Ste B Kingman AZ 86401-6601 Ph: (928) 715-9258 | Lucas Medical 1751 N Stockton Hill Rd Ste B Kingman AZ 86401-6601 Ph: (928) 715-9258 |
| NPI Number | 1437612355 |
|---|---|
| Provider Enumeration Date | 04/08/2019 |
| Last Update Date | 08/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437612355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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