# LUCAS FAMILY MEDICINE PLLC

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

## Provider details

- **NPI number:** 1932899176
- **Authorized official:** MR. JONATHON EDWARD LUCAS (CO-OWNER/ MANAGER)
- **Authorized official phone:** (423) 444-3368

## Contact information

- **Practice address:** 473 N 12TH ST, MIDDLESBORO, KY 40965-1133
- **Practice address phone:** (423) 444-3368
- **Mailing address:** 403 SHARPES WOODS RD, PINEVILLE, KY 40977-7539
- **Mailing address phone:** (423) 444-3368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/10/2023
- **Last updated:** 01/31/2024