Individual
MS. AVIS J LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
950 N PORTER AVE STE 200, NORMAN, OK 73071
(405) 329-0121
(405) 292-6099
Mailing address
950 N PORTER AVE STE 200, NORMAN, OK 73071-6400
(405) 329-0121
(405) 292-6099
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
618
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200048200A
—
OK
Enumeration date
06/05/2006
Last updated
08/01/2018
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