Individual
MS. MELISSA A LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 HOSPITAL DR, WARRENTON, VA 20186-3027
(703) 295-9360
(703) 295-9369
Mailing address
47 RIVER ST, FORTY FORT, PA 18704-5034
(202) 997-9186
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024166199
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010196442
—
VA
05
—
010196744
—
VA
05
—
010200211
—
VA
01
—
139230
TRIGON
VA
01
—
484645
NCPPO
VA
01
—
K142-0002
CARE FIRST 2005
VA
01
—
P00247369
RAILROAD MEDICARE
VA
Enumeration date
10/04/2006
Last updated
07/09/2007
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