Healthcare Provider Details

I. General information

NPI: 1558408013
Provider Name (Legal Business Name): SHERYL E LUCAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHERYL E GUTHRIE MD

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 11/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 2ND ST NE
WASHINGTON DC
20002-8100
US

IV. Provider business mailing address

2101 EAST JEFFERSON STREET KAISER PERMANENTE PPQA 6 WEST
ROCKVILLE MD
20852
US

V. Phone/Fax

Practice location:
  • Phone: 202-346-3500
  • Fax: 202-346-3651
Mailing address:
  • Phone: 301-816-6660
  • Fax: 301-816-6308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberMD11321
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberD0035368
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number0101042776
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: