# MAUREEN C LUCAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1376521583
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 11324 | MT | — |
| 207V00000X | Obstetrics & Gynecology Physician | MD212806 | OR | Yes |

## Other

- **Enumeration date:** 01/06/2006
- **Last updated:** 10/13/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000096716 | BCBS PIN | MT |
| 01 | — | 0116705 | MDCD PIN | MT |
| 01 | — | 123923600 | MDCD PIN | WY |
