KIM M LUCAS MD PLLC
Ambulatory Health in Tempe, AZ

License number
Arizona 22059
Category
Ambulatory Health
Type
Primary Care
Owner
Name: KIM MYRIAM LUCAS M.D.
Title: OWNER
Phone: (480) 775-4110
Address
Address
1968 E. Baseline Rd. STE. F101, Tempe, AZ 85283
National Provider ID: 1780644914
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KIM M LUCAS MD PLLC at bizstanding.com

KIM M. LUCAS, M.D., P.L.L.C

1968 E Baseline Rd STE F101, Tempe, AZ 85283

Registration:
Jul 21, 1999
State ID:
P-0882272-8
Expiration:
PERPETUAL
Manager:
Kim M Lucas (Manager), 4909 N 44 St, Phoenix, AZ 85018 (Physical)
Agent:
Mark H Candioto Esq,7310 N 16 St STE 330, Phoenix, AZ 85020 (Physical)

Ambulatory Health licenses in Arizona










Other Doctors licenses in Arizona