Individual
DR. CYNTHIA JEAN LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
118 RAMSEY LN, BALLWIN, MO 63021-4910
(636) 227-5524
(636) 227-9134
Mailing address
118 RAMSEY LN, BALLWIN, MO 63021-4910
(636) 227-5524
(636) 227-9134
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO-3419
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16639
BUREAU OF NARCOTICS #
MO
01
—
TO-3419
STATE LICENSE
MO
Enumeration date
01/04/2007
Last updated
03/07/2023
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