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NPI Code Detail

MEDICARE: CATHERINE T. LUCAS MD

MEDICARE: CATHERINE T. 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
1207N00000XDermatology Physician25768AL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01430802OTHERALMEDICARE RAILROAD

Other Identifiers

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

General Provider Information

NPI Number : 1841240363
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE T. LUCAS MD
Provider Business Mailing Address
First Line : 4410 WATERMELON RD
Second Line :
City : NORTHPORT
State : AL
Zip : 35473-5204
Country : US
Telephone Number : 205-345-1520
Fax Number : 205-345-1761
Provider Business Practice Location Address
First Line : 4410 WATERMELON RD
Second Line :
City : NORTHPORT
State : AL
Zip : 35473-5204
Country : US
Telephone Number : 205-345-1520
Fax Number : 205-345-1761
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 02/23/2016

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Directions to “ CATHERINE T. LUCAS MD” Practice Location

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