Healthcare Provider Details

I. General information

NPI: 1821948787
Provider Name (Legal Business Name): MORGAN ASHLEY LUCASON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 E SCHUYLER ST
OSWEGO NY
13126-1161
US

IV. Provider business mailing address

430 N HILLSBORO RD
CAMDEN NY
13316-4430
US

V. Phone/Fax

Practice location:
  • Phone: 315-343-6974
  • Fax:
Mailing address:
  • Phone: 315-269-6591
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number035849
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: