Healthcare Provider Details
I. General information
NPI: 1598709859
Provider Name (Legal Business Name): RICHARD M. LUCAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/16/2006
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7TH & CLAYTON STS
WILMINGTON DE
19805
US
IV. Provider business mailing address
307 S EVERGREEN AVE
WOODBURY NJ
08096-2739
US
V. Phone/Fax
- Phone: 302-421-4333
- Fax: 302-421-4858
- Phone: 856-686-4300
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | MD034585E |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | C10006580 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: