Provider Demographics
NPI:1578743076
Name:NEFF, LUCAS PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:LUCAS
Middle Name:PAUL
Last Name:NEFF
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:TRAVIS AFB 60 MSGS/SGCQG
Mailing Address - Street 2:101 BODIN CIRCLE, BLDG 777
Mailing Address - City:APO
Mailing Address - State:AA
Mailing Address - Zip Code:94535
Mailing Address - Country:US
Mailing Address - Phone:707-423-5179
Mailing Address - Fax:
Practice Address - Street 1:TRAVIS AFB, 60 MSGS/SGCQG
Practice Address - Street 2:DAVID GRANT MEDICAL CENTER, 101 BODIN CIRCLE, BLDG 777
Practice Address - City:APO
Practice Address - State:AA
Practice Address - Zip Code:94535
Practice Address - Country:US
Practice Address - Phone:707-423-5179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-13
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA121906208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC60137BMedicare UPIN