Individual
REBECCA L LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4880 CENTURY PLAZA RD, STE 250, INDIANAPOLIS, IN 46254-5471
(317) 216-2500
(317) 216-2555
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
(317) 962-3834
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000168
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200993660
—
IN
Enumeration date
06/22/2006
Last updated
01/20/2020
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