SearchArizona374U00000X

Rudolph Lucas

NPI 1477236867 · on the registry since 2023 · sole proprietor

Practice

Address
5658 W Harmont Dr
Glendale, AZ 85302
Phone
(815) 329-0499

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona