Individual
MICHAEL WAYNE LUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3201 W HIGHWAY 22, CORSICANA, TX 75110-2450
(903) 654-6800
Mailing address
3201 W HIGHWAY 22, CORSICANA, TX 75110-2450
(903) 654-6800
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2815838
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
727861
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000378049
SIA'S
IN
05
—
193593402
—
TX
05
—
200528760
—
IN
01
—
88083U
BCBS
TX
Enumeration date
05/16/2006
Last updated
04/15/2014
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