| Dr Bobby A Lucas, DC | |
|
1261 S Seward Meridian Rd, Suite F, Wasilla, AK 99654-8334 | |
| (907) 357-6100 | |
| (907) 357-6102 |
| Full Name | Dr Bobby A Lucas |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 1261 S Seward Meridian Rd, Wasilla, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790811081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 89 (Alaska) | Primary |
| Provider Name | Lucas Chiro Clinic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962553131 PECOS PAC ID: 1951389246 Enrollment ID: O20040713000170 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bobby A Lucas, DC 1261 S Seward Meridian Rd, Suite F, Wasilla, AK 99654-8334 Ph: (907) 357-6100 | Dr Bobby A Lucas, DC 1261 S Seward Meridian Rd, Suite F, Wasilla, AK 99654-8334 Ph: (907) 357-6100 |
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