Provider Demographics
NPI:1053909184
Name:KADAR, LUCAS ALEXANDER
Entity type:Individual
Prefix:
First Name:LUCAS
Middle Name:ALEXANDER
Last Name:KADAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-8630
Mailing Address - Country:US
Mailing Address - Phone:973-984-2800
Mailing Address - Fax:
Practice Address - Street 1:40 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-8630
Practice Address - Country:US
Practice Address - Phone:973-984-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00150600171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist