| Robert S Lucas MD | |
|
5501 Williamson Rd Roanoke VA 24012-1439 | |
| (540) 362-1616 | |
| (540) 362-8234 |
| Full Name | Robert S Lucas MD |
|---|---|
| Speciality | Family Medicine |
| Location | 5501 Williamson Rd, Roanoke, Virginia |
| Authorized Official Name and Position | Robert S Lucas (OWNER) |
| Authorized Official Contact | 5403621616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert S Lucas MD 5501 Williamson Rd Roanoke VA 24012-1439 Ph: (540) 362-1616 | Robert S Lucas MD 5501 Williamson Rd Roanoke VA 24012-1439 Ph: (540) 362-1616 |
| NPI Number | 1164612974 |
|---|---|
| Provider Enumeration Date | 07/27/2007 |
| Last Update Date | 11/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164612974 | NPI | - | NPPES |
| 394048 | Other | VA | ANTHEM |
| CB0245 | Other | VA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101043731 (Virginia) | Primary |
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