Lisa W Lucas, D.O.

NPI #1104156769 in Freeport, Maine

Provider Information

NPI Number: 1104156769
Entity Type: Individual
Name: Lisa W Lucas, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jan 5, 2010
Last Updated: Feb 16, 2020

Practice Location

Address: 42 MALLETT DR STE 3
City: Freeport
State: Maine
ZIP Code: 04032-1355
Phone: (207) 869-5815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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