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:
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Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
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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