Individual
LUCAS ANDREW SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6519 LITTLE RD, MONROE, NC 28110-7092
(980) 721-1095
Mailing address
18805 W CATAWBA AVE STE 205A, CORNELIUS, NC 28031-4609
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5023822
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
01/21/2026
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