Healthcare Provider Details

I. General information

NPI: 1710481700
Provider Name (Legal Business Name): LUCAS ANDREW WRIGHT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2018
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 HOSPITAL DR STE 255
WINCHESTER KY
40391-7625
US

IV. Provider business mailing address

121 PINEHURST DR
GEORGETOWN KY
40324-9596
US

V. Phone/Fax

Practice location:
  • Phone: 859-737-9900
  • Fax: 859-737-0050
Mailing address:
  • Phone: 859-533-6908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number05429
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: