Whalio Doctors

NPI 1003267147

Kurtis Alan Lucas, MD

Practitioner Family Medicine Physician Waterloo, IA

Practice location

Address
2055 Kimball Ave STE 101, Waterloo, IA 50702-5047
Phone
(319) 272-2112
Fax
(319) 272-2107

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence R10730 (IA)

Registry record

NPI
1003267147
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Jun 2016
Record last updated
30 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.