Individual
ANDREW RICHARD LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
262 GARDNER AVE, WEIRTON, WV 26062-4102
(412) 925-5098
Mailing address
262 GARDNER AVE, WEIRTON, WV 26062-4102
(412) 925-5098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
113561
WV
363LF0000X
Family Nurse Practitioner
Primary
113561
WV
Other
Enumeration date
04/24/2024
Last updated
09/17/2024
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