Healthcare Provider Details

I. General information

NPI: 1982970976
Provider Name (Legal Business Name): LUCAS HELLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2012
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8775 NORWIN AVE STE 100
IRWIN PA
15642-7705
US

IV. Provider business mailing address

8775 NORWIN AVE STE 100
IRWIN PA
15642-7705
US

V. Phone/Fax

Practice location:
  • Phone: 833-604-7211
  • Fax: 724-537-1066
Mailing address:
  • Phone: 833-604-7211
  • Fax: 724-537-1066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberMD454094
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: