Organization
KATHLEEN E. LUCAS MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN E. LUCAS MD (OWNER)
(336) 510-5510
Entity
Organization
Contact information
Practice address
1416 YANCEYVILLE ST, SUITE 1, GREENSBORO, NC 27405-6955
(336) 510-5510
(336) 510-5515
Mailing address
1416 YANCEYVILLE ST, SUITE 1, GREENSBORO, NC 27405-6955
(336) 510-5510
(336) 510-5515
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31329
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013VV
BLUE CROSS OF NC
NC
01
—
1200895
UNITED HEALTHCARE
NC
01
—
1201591
UNITED HEALTHCARE
NC
01
—
1207825
UNITED HEALTHCARE
NC
01
—
2468828
UNITED HEALTHCARE
NC
01
—
34585
MEDCOST INSURANCE
NC
01
—
4238847
AETNA INSURANCE
NC
01
—
5900891
AETNA INSURANCE
NC
01
—
7500692
AETNA INSURANCE
NC
01
—
7560128
AETNA INSURANCE
NC
05
—
790238L
—
NC
01
—
87515
MEDCOST INSURANCE
NC
01
—
B9751
MEDCOST INSURANCE
NC
01
—
E0113
MEDCOST INSURANCE
NC
Enumeration date
03/24/2006
Last updated
08/22/2020
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