Individual
NATASHA FAYE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6040 UNIVERSITY TOWN CENTRE DR, MORGANTOWN, WV 26501-2421
(304) 293-6307
(304) 293-1216
Mailing address
PO BOX 9196, MORGANTOWN, WV 26506-9196
(304) 293-1164
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101270428
VA
207Q00000X
Family Medicine Physician
MT193776
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
25009
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810024055
—
WV
Enumeration date
06/26/2008
Last updated
10/30/2023
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