MEDICARE: MRS. MEGAN ELIZABETH LUCAS PMHNP

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	163W00000X	Registered Nurse	201042305RN	OR
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	10044337	OR

General Provider Information

NPI Number	:	1063832111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MEGAN ELIZABETH LUCAS PMHNP

Provider Business Mailing Address
First Line	:	2437 MARION ST
Second Line	:
City	:	NORTH BEND
State	:	OR
Zip	:	97459-2639
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 N BAYSHORE DR
Second Line	:
City	:	COOS BAY
State	:	OR
Zip	:	97420-2526
Country	:	US
Telephone Number	:	541-435-7000
Fax Number	:

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

Provider Enumeration Date	:	04/16/2014
Last Update Date	:	08/07/2025

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