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THOMAS GARY LUCAS DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1154588960

Individual Registrant:
 THOMAS GARY LUCAS DDS
Gender: M
Sole Proprietor

Location and contact information for practice:
6211 WEST 30TH STREET SUITE A SPEEDWAY, IN 46224-3025 US
Tel: 317-297-7475  Fax: 317-280-1442

Contact information for business:
6211 WEST 30TH STREET SUITE A SPEEDWAY, IN 46224-3025 US
Tel: 317-297-7475  Fax: 317-280-1442

Registration Information:
NPI: 1154588960
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
IN12007556

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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