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NPI Code Detail

MEDICARE: DR. WILLIAM T LUCAS DDS

MEDICARE: DR. WILLIAM T LUCAS DDS
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
11223G0001XGeneral Practice Dentistry0401007159VA

General Provider Information

NPI Number : 1760534044
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM T LUCAS DDS
Provider Business Mailing Address
First Line : 1600 WESTBROOK AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23227-3337
Country : US
Telephone Number : 804-264-6253
Fax Number : 804-264-6059
Provider Business Practice Location Address
First Line : 1600 WESTBROOK AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23227-3337
Country : US
Telephone Number : 804-264-6253
Fax Number : 804-264-6059
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 07/08/2007

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Directions to “ DR. WILLIAM T LUCAS DDS” Practice Location

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