Healthcare Provider Details

I. General information

NPI: 1639220270
Provider Name (Legal Business Name): ERIC DARNELL LUCAS SR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MOBILE INFIRMARY HOSPITAL THE INTENSIVIST PROGRAM 1700 SPRINGHILL AVE STE 100
MOBILE AL
36604
US

IV. Provider business mailing address

MOBILE INFIRMARY HOSPITAL THE INTENSIVIST PROGRAM 1700 SPRINGHILL AVE STE 100
MOBILE AL
36604
US

V. Phone/Fax

Practice location:
  • Phone: 251-435-4461
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number15095
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMS12439
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD2020-0910
License Number StateNM
# 4
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number12439
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: