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NPI Code Detail

MEDICARE: LUCAS SCOTT HASTINGS

MEDICARE: LUCAS SCOTT HASTINGS
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
1207Q00000XFamily Medicine Physician0101288280VA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1841993078
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCAS SCOTT HASTINGS
Provider Business Mailing Address
First Line : 1340 CENTRAL PARK BLVD STE 100
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22401-4940
Country : US
Telephone Number : 540-741-4254
Fax Number :
Provider Business Practice Location Address
First Line : 12101 CAROL LN STE 101
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22407-6104
Country : US
Telephone Number : 540-741-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2023
Last Update Date : 06/15/2026

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Directions to “ LUCAS SCOTT HASTINGS ” Practice Location

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