Individual
DR. CYNTHIA P. LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2909 12TH AVE S, NASHVILLE, TN 37204-2544
(615) 386-9262
(615) 345-9265
Mailing address
2909 12TH AVE S, NASHVILLE, TN 37204-2544
(615) 386-9262
(615) 345-9265
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2405
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4007555
BCBS OF TN PROVIDER NUMBE
TN
Enumeration date
03/06/2007
Last updated
07/08/2007
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