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NPI Code Detail

MEDICARE: SEAN CHRISTIAN LUCAN MD

MEDICARE:   SEAN CHRISTIAN LUCAN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician83346CT
2207Q00000XFamily Medicine Physician253590-01NY
3207Q00000XFamily Medicine Physician253590-1NY
4207Q00000XFamily Medicine Physician25MA11354300NJ

General Provider Information

NPI Number : 1043372410
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN CHRISTIAN LUCAN MD
Provider Business Mailing Address
First Line : 222 OVERLOOK AVE
Second Line :
City : LEONIA
State : NJ
Zip : 07605-1519
Country : US
Telephone Number : 267-265-1669
Fax Number : 305-330-9067
Provider Business Practice Location Address
First Line : 1001 FISCHER BLVD STE 3
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08753-3818
Country : US
Telephone Number : 844-359-8363
Fax Number : 833-929-3520
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 06/09/2026

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Directions to “ SEAN CHRISTIAN LUCAN MD” Practice Location

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