Tracy Alan Lucas in Saint Louis - Physician Assistant

Tracy Alan Lucas - NPI 1437335742

Tracy Alan Lucas is a Physician Assistant in Saint Louis, Missouri. Tracy Alan Lucas practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tracy Alan Lucas is 1437335742. The last update date is 2016-06-09.

Tracy Alan Lucas's current location address is Po Box 504274, Saint Louis, Missouri. You can contact this provider via phone number 4178294620. The mailing address for Tracy Alan Lucas is Po Box 504274, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy Alan Lucas
Address Po Box 504274, Saint Louis, Missouri
Phone Number 4178294620
Fax Number
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1437335742
Provider Enumeration Date 2008-01-16
Last Updated Date 2016-06-09

Provider Mailing Address Detail

Address Po Box 504274
City Saint Louis
State Missouri (MO)
Post Code 631504274
Phone Number 4178294620
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
431560263 RAILROAD MEDICARE
431560263 TRICARE WEST

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FAQs about Tracy Alan Lucas

What is the Tracy Alan Lucas's 1437335742?

The Tracy Alan Lucas's NPI (National Provider Identifier) Number is 1437335742. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Tracy Alan Lucas is geographically located?

The Tracy Alan Lucas is physically situated at the following location: Po Box 504274, Saint Louis, MO, 631504274.

What is the Tracy Alan Lucas's specialty and taxonomy code?

The Tracy Alan Lucas's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1437335742 to Tracy Alan Lucas?

The Tracy Alan Lucas received its 1437335742 assignment from the Centers for Medicare & Medicaid Services on 2008-01-16.

As of what date was the information pertaining to Tracy Alan Lucas, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Tracy Alan Lucas, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-06-09.

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