Individual
TRICIA LYNN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
996 NW CIRCLE BLVD STE 103, CORVALLIS, OR 97330-1485
(541) 768-1252
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA209073
OR
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/20/2006
Last updated
12/09/2024
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