Kenneth J Lucas, MD

NPI #1023110665 in Daytona Beach, Florida

Provider Information

NPI Number: 1023110665
Entity Type: Individual
Name: Kenneth J Lucas, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Sep 3, 2006
Last Updated: Dec 13, 2007

Practice Location

Address: 405 N CLYDE MORRIS BLVD
Address 2: 405 N CLYDE MORRIS BLVD
City: Daytona Beach
State: Florida
ZIP Code: 32114-2730
Phone: (386) 257-1626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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