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Contact Information

LUCAS BINGHAM M.D., INC.
600 CORPORATE DR STE 100
LADERA RANCH, CA92694
 Phone: 949-388-8022
 Fax: 949-388-8033
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for LUCAS BINGHAM MD INC · (Female)

NPI # 1508291436
Status Active
Credentials
Entity Individual
Enumeration date 09/11/2013
Last updated 10/23/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A104512
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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