# IRENE LUCAS M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245433887
- **Authorized official:** IRENE LUCAS M.D. (DOCTOR)
- **Authorized official phone:** (570) 474-6562

## Contact information

- **Practice address:** 62 N MOUNTAIN BLVD, MOUNTAIN TOP, PA 18707-1117
- **Practice address phone:** (570) 474-6562
- **Practice address fax:** (570) 474-0796
- **Mailing address:** 62 N MOUNTAIN BLVD, MOUNTAIN TOP, PA 18707-1117
- **Mailing address phone:** (570) 474-6562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD033970E | PA | Yes |

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 08/22/2020