MEDICARE: XYON 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	246RP1900X	Phlebotomy Technician		NC

General Provider Information

NPI Number	:	1831047224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XYON LUCAS

Provider Business Mailing Address
First Line	:	8100 GREEN LANTERN ST APT 201
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27613-4589
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8100 GREEN LANTERN ST APT 201
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27613-4589
Country	:	US
Telephone Number	:	862-272-9958
Fax Number	:

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

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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Directions to “ XYON LUCAS ” Practice Location

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