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NPI Code Detail

MEDICARE: LUCAS DANE PERDUE

MEDICARE: LUCAS DANE PERDUE
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
1171M00000XCase Manager/Care CoordinatorOK

General Provider Information

NPI Number : 1578495651
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCAS DANE PERDUE
Provider Business Mailing Address
First Line : 540 S ATLANTA AVE APT 303
Second Line :
City : TULSA
State : OK
Zip : 74104-2843
Country : US
Telephone Number : 918-284-5917
Fax Number :
Provider Business Practice Location Address
First Line : 5310 E 31ST ST
Second Line :
City : TULSA
State : OK
Zip : 74135-5012
Country : US
Telephone Number : 918-600-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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1942423975 — MRS. MARGARET FRANCIS ANN JENKINS LPC, LMFT
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Directions to “ LUCAS DANE PERDUE ” 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.

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