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General NPI Number Information
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NPI Number | 1326026261
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Entity Type | Individual
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Provider Name | WILLIAM MATTHEW LUCAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/01/2006
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 607 SE JEFFERSON ST
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City | DALLAS
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State | OR
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Zip | 97338-2025
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Country | US
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Telephone | 503-623-1200
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Fax | 503-623-1414
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Provider Business Mailing Address
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Address Line | 655 7TH ST
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City | ROBINS AFB
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State | GA
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Zip | 31098-2227
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Country | US
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Telephone | 478-327-7850
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | MD126276
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD127276
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD126276
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License Number State | OR
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