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General NPI Number Information
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NPI Number | 1821961293
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Entity Type | Organization
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Legal Business Name | LUCAS FAMILY MEDICINE PLLC
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 473 N 12TH ST
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City | MIDDLESBORO
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State | KY
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Zip | 40965-1133
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Country | US
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Telephone | 606-302-5116
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Fax | 606-302-5117
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Provider Business Mailing Address
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Address Line | 473 N 12TH ST
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City | MIDDLESBORO
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State | KY
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Zip | 40965-1133
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Country | US
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Telephone | 606-302-5116
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Fax | 606-302-5117
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH S. LUCAS
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Credential | DO
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Telephone | 606-302-5116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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