Provider Demographics
NPI:1912310392
Name:LENCI, LUCAS (MD)
Entity type:Individual
Prefix:DR
First Name:LUCAS
Middle Name:
Last Name:LENCI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1531 E BRADFORD PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-6539
Mailing Address - Country:US
Mailing Address - Phone:417-887-3900
Mailing Address - Fax:417-823-2894
Practice Address - Street 1:1531 E BRADFORD PKWY STE 100
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-6539
Practice Address - Country:US
Practice Address - Phone:417-887-3900
Practice Address - Fax:417-823-2894
Is Sole Proprietor?:No
Enumeration Date:2014-06-03
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019005324207W00000X
KS04-39937207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology