MEDICARE: LEONARD RUSSELL LUCAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1427661016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEONARD RUSSELL LUCAS

Provider Business Mailing Address
First Line	:	RR 1 BOX 350
Second Line	:
City	:	SALT ROCK
State	:	WV
Zip	:	25559-9733
Country	:	US
Telephone Number	:	304-208-4920
Fax Number	:

Provider Business Practice Location Address
First Line	:	RR 1 BOX 350
Second Line	:
City	:	SALT ROCK
State	:	WV
Zip	:	25559-9733
Country	:	US
Telephone Number	:	304-208-4920
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2020
Last Update Date	:	06/24/2021

Similar Medicare Providers

1851281935 — STEPHANIE WAHL COUNSELING AND CONSULTATION
Practice Location Address:

4509 SALT CREEK DR
DUNCAN FALLS, OH
43734-9733

Practice Phone: 740-221-3026
Practice Fax:

1942509856 — LINCOLN COUNTY PRIMARY CARE CENTER, INC
Practice Location Address:

5490 STATE ROUTE 10
SALT ROCK, WV
25559-9736

Practice Phone: 304-824-5806
Practice Fax: 304-824-5804

1609366798 — LEVI ROBERTS
Practice Location Address:

4779 GUYAN RIVER RD
SALT ROCK, WV
25559

Practice Phone: 304-733-1112
Practice Fax:

1205440393 — SARA ELISABETH SIMMONS
Practice Location Address:

744 RT 2
SALT ROCK, WV
25559-9761

Practice Phone: 304-360-9502
Practice Fax:

1376146605 — CAYLA CLAIRE BOWEN
Practice Location Address:

3433 HINCHMAN BEND ROAD
SALT ROCK, WV
25559

Practice Phone: 681-204-5658
Practice Fax:

1225623176 — APRIL FLAUGHER
Practice Location Address:

5266 ROBIN LANE
SALT ROCK, WV
25559

Practice Phone: 304-208-3669
Practice Fax:

Directions to “ LEONARD RUSSELL LUCAS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.