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1134947997
LUCAS MEDICAL LLC
JOHNSTON, RI
NPI
1134947997
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Entity Type
Organization
Authorized Contact
BRIAN MIKOLASKO
President, Chief Medical Officer
626-319-5932
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2024-10-01
Last Update Date
2024-10-01
Business Address
LUCAS MEDICAL LLC
2109 HARTFORD AVE
JOHNSTON, RI 02919-3246
Phone number: 626-319-5932
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Mailing Address
LUCAS MEDICAL LLC
47 WOOD AVE STE 2
BARRINGTON, RI 02806-3503
Phone number: 626-319-5932
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