Healthcare Provider Details

I. General information

NPI: 1497309702
Provider Name (Legal Business Name): NATALIE N LUCAS DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2019
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 HOSPITAL DR STE 140
CORSICANA TX
75110-2415
US

IV. Provider business mailing address

401 HOSPITAL DR STE 140
CORSICANA TX
75110-2415
US

V. Phone/Fax

Practice location:
  • Phone: 903-201-6405
  • Fax:
Mailing address:
  • Phone: 903-201-6405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1129829
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: