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NPI Code Detail

MEDICARE: EUGENE T LUCAS CRNP

MEDICARE: EUGENE T LUCAS CRNP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerSP008837PA

General Provider Information

NPI Number : 1760458004
Entity Type Code : Individual
Provider Name (Legal Business Name) : EUGENE T LUCAS CRNP
Provider Business Mailing Address
First Line : PO BOX 1388
Second Line :
City : KINGSTON
State : PA
Zip : 18704-0388
Country : US
Telephone Number : 570-288-8881
Fax Number : 570-288-8065
Provider Business Practice Location Address
First Line : 350 NTH 11TH STREET
Second Line :
City : SUNBURY
State : PA
Zip : 17801-1611
Country : US
Telephone Number : 570-286-3430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 09/05/2025

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