Individual provider · Type 1 NPI
Kelly Lucas, D.P.M.
Foot & Ankle Surgery Podiatrist · Franklin Square, NY
NPI number
1134563265
Active
Practice location
925 Hempstead Tpke, Ste 110
Franklin Square, NY 11010-3641
Mailing address
102 Willow Ave
Huntington, NY 11743-4206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 006669 (NY) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1134563265
Kelly Lucas, D.P.M.'s National Provider Identifier is 1134563265, issued on Apr 19, 2013. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Franklin Square, NY. The record was last updated on Jun 21, 2016.