Bingham, Lucas G
Bingham, Lucas G is an individual health care provider with primary practice located at 600 Corporate Dr Ste 100, Ladera Ranch CA 92694-2106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bingham, Lucas G can be contacted via phone (949) 388-8022.Contact Information
Primary practice address
600 Corporate Dr Ste 100
Ladera Ranch CA 92694-2106
Phone: (949) 388-8022
Fax: (949) 388-8033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 47852 | Minnesota |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 36857 | Arizona |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A104512 | California |
Profile Details
| NPI number | 1295700987 |
|---|---|
| LBN Legal business name | Bingham, Lucas G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Oct 1st, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295700987 | NPPES |
| Arizona | Other | 860800150 85259 B201 | TRICARE |
| Arizona | MEDICAID | 265506 | TRICARE |
| Arizona | Other | P00425647 | TRICARE |
| Arizona | MEDICAID | 783850600 | TRICARE |
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