Individual
DR. MATTHEW JUSTIN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C, DNP
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
5009206
NC
363L00000X
Nurse Practitioner
5009206
NC
363LF0000X
Family Nurse Practitioner
5009206
NC
Other
Enumeration date
01/06/2017
Last updated
12/12/2025
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