Individual
DR. ELISABETH B LUCASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 HOPE DR STE 1300, HERSHEY, PA 17033-2036
(717) 531-3828
(717) 531-4694
Mailing address
PO BOX 858, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD442766
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027927460001
—
PA
01
—
262805
MEDICARE
PA
Enumeration date
05/11/2007
Last updated
10/14/2020
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