Kurtis Alan Lucas
Family Doctor
2055 Kimball Ave Ste 101
Waterloo
, Iowa 50702-5047
Kurtis Alan Lucas
Family Doctor
2055 Kimball Ave Ste 101
Waterloo
, Iowa 50702-5047
(319) 272-2107
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Kurtis Alan Lucas
- 2055 Kimball Ave Ste 101
- Waterloo, IA
- Zip : 50702-5047
- Fax : (319) 272-2107
- Phone : (319) 272-2112
Second Address
- Kurtis Alan Lucas
- 2055 Kimball Ave Ste 101
- Waterloo, IA
- Zip : 50702-5047
- Fax : (319) 272-2107
- Phone : (319) 272-2112
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | R10730 | IA |
National Provider Identifier
| NPI | 1003267147 |
|---|---|
| Provider Name | Kurtis Alan Lucas |
| First Address | Waterloo, IA 50702-5047 |
| Second Address | Waterloo, IA 50702-5047 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2016 |
| Last Update Date | 30/06/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.