Individual
JULIE ROSE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 S UNIVERSITY BLVD, UCOM 6000 A, MOBILE, AL 36688-0002
(251) 660-5787
(251) 660-5540
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 660-5787
(251) 660-5740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-217
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009930270
—
AL
05
—
0124863
—
MS
01
—
51098015
BCBS
AL
01
—
51098018
BCBS
AL
Enumeration date
06/05/2006
Last updated
05/12/2015
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