NPI 1033175435 · live from the CMS NPI Registry
Phillip R Lucas, M.D.
Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Providence, RI. National Provider Identifier 1033175435, active.
NPI record
| NPI | 1033175435 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Orthopaedic Surgery of the Spine 207XS0117X |
| Practice location | 2 Dudley St, Providence, RI 02905 |
| Practice phone | 401-457-2102 |
| Enumerated | April 25, 2006 |
| Last updated | September 23, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine primary | 207XS0117X | 4751 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.