Individual
LISA LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5020 CLINTON RD, WHITESBORO, NY 13492-2748
(315) 723-2514
Mailing address
5020 CLINTON RD, WHITESBORO, NY 13492-2748
(315) 723-2514
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
014669
NY
103TS0200X
School Psychologist
Primary
014669
NY
Other
Enumeration date
09/07/2021
Last updated
10/16/2025
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