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1013973577

NPI Code Detail

MEDICARE: MELISSA LUCAS MD

MEDICARE: MELISSA LUCAS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	35055541	OH
2	207Q00000X	Family Medicine Physician	31565	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013973577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA LUCAS MD

Provider Business Mailing Address
First Line	:	1501 MADISON RD
Second Line	:	3RD FLOOR
City	:	WALNUT HILLS
State	:	OH
Zip	:	45206-1706
Country	:	US
Telephone Number	:	513-354-5238
Fax Number	:	513-354-5237

Provider Business Practice Location Address
First Line	:	1501 MADISON RD
Second Line	:	3RD FLOOR
City	:	WALNUT HILLS
State	:	OH
Zip	:	45206-1706
Country	:	US
Telephone Number	:	513-354-5238
Fax Number	:	513-354-5237

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	04/21/2015

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Directions to “ MELISSA LUCAS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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