Kenneth J Lucas in Daytona Beach - Family Medicine

Kenneth J Lucas - NPI 1023110665

Kenneth J Lucas is a Family Medicine in Daytona Beach, Florida. Kenneth J Lucas practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenneth J Lucas is 1023110665. The last update date is 2007-12-13.

Kenneth J Lucas's current location address is 405 N Clyde Morris Blvd, Daytona Beach, Florida. You can contact this provider via phone number 3862571626 and fax number 3862547507. The mailing address for Kenneth J Lucas is 405 N Clyde Morris Blvd, Daytona Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth J Lucas
Address 405 N Clyde Morris Blvd, Daytona Beach, Florida
Phone Number 3862571626
Fax Number 3862547507
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1023110665
Provider Enumeration Date 2006-09-03
Last Updated Date 2007-12-13

Provider Mailing Address Detail

Address 405 N Clyde Morris Blvd
City Daytona Beach
State Florida (FL)
Post Code 321142730
Phone Number 3862571626
Fax Number 3862547507

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No ME22441
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Kenneth J Lucas

What is the unique identifier code issued to Kenneth J Lucas by the Centers for Medicare & Medicaid Services (CMS)?

The Kenneth J Lucas has been assigned the NPI (National Provider Identifier) 1023110665. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Kenneth J Lucas's facilities are geographically located?

The facilities of Kenneth J Lucas are physically situated at the following location: 405 N Clyde Morris Blvd, Daytona Beach, FL, 321142730.

What is the Kenneth J Lucas's specialty and taxonomy code?

The Kenneth J Lucas's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

When was the Kenneth J Lucas's 1023110665 issued?

The Kenneth J Lucas's 1023110665 was issued on 2006-09-03.

When was the Kenneth J Lucas's information last updated?

The Kenneth J Lucas's information was last updated on 2007-12-13.

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