MEDICARE: CHRYSTAL LUCAS

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1629835228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRYSTAL LUCAS

Provider Business Mailing Address
First Line	:	2516 DAFFODIL CT E
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-5648
Country	:	US
Telephone Number	:	812-767-4934
Fax Number	:

Provider Business Practice Location Address
First Line	:	2516 DAFFODIL CT E
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-5648
Country	:	US
Telephone Number	:	812-767-4934
Fax Number	:

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

Provider Enumeration Date	:	03/01/2024
Last Update Date	:	03/01/2024

Similar Medicare Providers

1427048131 — MS. ELEONORE MAE JOHNSON OTR/L
Practice Location Address:

7950 MARTIN LOOP , OCCUPATIONAL THERAPY CLINIC
COLUMBUS, GA
31905-5648

Practice Phone: 706-544-1389
Practice Fax: 706-544-4059

1548669245 — KATIE ALEXANDRA RAISOR PT, DPT
Practice Location Address:

6361 TALOKAS LN STE C170
COLUMBUS, GA
31909-5648

Practice Phone: 706-569-6250
Practice Fax: 706-569-6335

1811347545 — RACHEL PATRICK SELMAN PT, DPT
Practice Location Address:

6361 TALOKAS LN STE C170
COLUMBUS, GA
31909-5648

Practice Phone: 706-569-6250
Practice Fax: 706-569-6335

1568075026 — HAYLEY ABELL POE PT, DPT
Practice Location Address:

6361 TALOKAS LN STE C170
COLUMBUS, GA
31909-5648

Practice Phone: 706-569-6250
Practice Fax: 706-569-6335

1528778354 — MARGOT JOSEPH LAVACHE JR.
Practice Location Address:

5648 EARNINGS DR
COLUMBUS, OH
43232-7430

Practice Phone: 161-449-5701
Practice Fax:

1013628619 — AVENEAU CLERVAL
Practice Location Address:

5648 EARNINGS DR
COLUMBUS, OH
43232-7430

Practice Phone: 614-500-9507
Practice Fax:

Directions to “ CHRYSTAL LUCAS ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.