Individual
MICHAEL DAVID LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-3100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28055
SC
367500000X
Certified Registered Nurse Anesthetist
COA.13841-NA
OH
Other
Enumeration date
09/12/2012
Last updated
09/03/2025
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