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1023110665
KENNETH J LUCAS
DAYTONA BEACH, FL
NPI
1023110665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME22441)
Enumeration Date
2006-09-03
Last Update Date
2007-12-13
Business Address
-- KENNETH J LUCAS md
405 N CLYDE MORRIS BLVD 405 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114-2730
Phone number: 386-257-1626
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Mailing Address
-- KENNETH J LUCAS md
405 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114-2730
Phone number: 386-257-1626
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