Organization
COASTAL CONCIERGE HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LUCAS NP (NP)
(910) 622-0952
Entity
Organization
Contact information
Practice address
801 N HOWE ST STE 5, SOUTHPORT, NC 28461-3351
(910) 622-0952
Mailing address
801 N HOWE ST STE 5, SOUTHPORT, NC 28461-3351
(910) 477-6002
(833) 974-3842
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
09/04/2024
Last updated
12/12/2025
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