Individual
MRS. PAMELA ANNE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
7435 GRANBY ST, NORFOLK, VA 23505-3406
(757) 772-8101
Mailing address
7435 GRANBY ST, NORFOLK, VA 23505-3406
(757) 772-8101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
NONE
VA
01
—
0000
NONE
VA
Enumeration date
08/11/2006
Last updated
03/28/2019
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