Individual
MR. BARRY CLAUDE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-3666
Mailing address
PO BOX 3209, INDIANAPOLIS, IN 46206-3209
(706) 475-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN149716
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046603632A
—
GA
05
—
046603632B
—
GA
05
—
046603632C
—
GA
01
—
P00277448
RAILROAD MEDICARE
GA
Enumeration date
05/11/2006
Last updated
01/08/2018
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