Individual
DR. SHANTAE LADON LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
551 BREVARD RD, ASHEVILLE, NC 28806-2316
(828) 212-7021
Mailing address
28 BRADDOCK WAY, ASHEVILLE, NC 28803-2026
(828) 277-1162
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
9800619
NC
207RH0003X
Hematology & Oncology Physician
Primary
9800619
NC
207RX0202X
Medical Oncology Physician
9800619
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1173A
BLUE CROSS BLUE SHIELD NC
NC
01
—
36-71291
UNITED HEALTHCARE
NC
01
—
830005265
MEDICARE RAILROAD
NC
05
—
891173A
—
NC
01
—
99564
MEDCOST
NC
Enumeration date
10/22/2005
Last updated
11/25/2024
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