Individual
LUCAS STEPHEN KACHURICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85395-2635
(623) 882-1500
Mailing address
4539 N 22ND ST # 4999, PHOENIX, AZ 85016-4639
(412) 853-3444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9461979
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
306227
AZ
367500000X
Certified Registered Nurse Anesthetist
APRN11032844
FL
Other
Enumeration date
02/24/2022
Last updated
08/29/2025
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