NPI 1134817570

Julliette Tekla Lucas, MD

Practitioner Otolaryngology Physician Springfield, IL

Practice location

Address: 720 N Bond St, Springfield, IL 62702-4952
Phone: (217) 545-8000
Fax: (217) 545-6544
Mailing address: PO Box 19662, Springfield, IL 62794-9662

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 125083158 (IL)

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Registry record

NPI: 1134817570
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Apr 2023
Record last updated: 29 May 2024

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.