MRS. LISA M. LUCAS (NPI# 1275839615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275839615 |
| Entity Type | Individual |
| Full Name | MRS. LISA M. LUCAS |
| Credential | APRN-BC, NP |
| Practice Address |
4215 W Pasadena Ave Suite 2 Flint MI 48504-2342 |
| Practice Telephone | 6163011020 |
| Mailing Telephone | 6163011020 |
| Mailing Fax Number | 8665956304 |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2015-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704237090 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449750 | Lisa M Lucas | Speech-Language Pathologist | 2813 Crittwoods Ct, Cincinnati, OH 45244-3809 | 2020-05-18 |
| 1396091021 | Lisa K Lucas | Hearing Instrument Specialist | 101 E Moreland Rd, Ste A, Willow Grove, PA 19090-4109 | 2012-07-31 |
| 1104156769 | Lisa W Lucas | Family Medicine | 42 Mallett Dr Ste 3, Freeport, ME 04032-1355 | 2010-01-05 |
| 1871774869 | Lisa Lynn Lucas | Registered Nurse | 1060 Jefferson Ave, Memphis, TN 38104-9411 | 2007-11-18 |
| 1104465624 | Lisa Gail Lucas | Behavior Technician | 4624 Park St, Jacksonville, FL 32205-7327 | 2020-01-01 |
| 1881113579 | Lisa Danielle Lucas | Counselor | 1126 Gateway Loop Ste 140, Springfield, OR 97477-7722 | 2017-09-13 |
| 1689039794 | Lisa Lucas | Social Worker | 786 Mountain Blvd, Watchung, NJ 07069 | 2015-12-17 |
| 1215158795 | Lisa Lucas | Nurse's Aide | 2250 Hickory Road, Suite 240, Plymouth Meeting, PA 19462 | 2007-05-01 |
| 1881753143 | Lisa Marie Lucas | General Practice | 3525 W Oxford Ave, Denver, CO 80236-3127 | 2006-12-06 |
| 1043327208 | Lisa D Lucas | Counselor | 7000 E Genesee St, Bldg. A, Fayetteville, NY 13066-1131 | 2006-08-24 |
| Street Address |
4215 W PASADENA AVE SUITE 2 |
| City | FLINT |
| State | MI |
| Zip Code | 48504-2342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427135755 | Gus K Hopson | Counselor | 4215 W Pasadena Ave, Suite 3, Flint, MI 48504-2374 | 2006-11-01 |
| 1750761128 | A Against All Odds | Home Health | 4215 W Pasadena Ave, Suite5, Flint, MI 48504-2342 | 2015-06-01 |
| 1134565336 | Community Advancement Project | Nursing Care | 4215 W Pasadena Ave, Suite 2, Flint, MI 48504-2342 | 2013-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935326 | St. Luke N.e.w. Life Center, Inc. | Optometrist | 3115 Lawndale Ave., Flint, MI 48504 | 2019-07-31 |
| 1235797259 | Saarah Amuthan | Dentist | 2051 West Pierson Road, Dental Dreams, Units B-d, Flint, MI 48504 | 2019-06-04 |
| 1639653413 | Chad Warren Montague | Social Worker | 1420 West University Ave, Flint, MI 48504 | 2018-09-18 |
| 1235628744 | Houda Ghassani | Dentist | 2501 W Pierson Rd # Unitsb-d, Flint, MI 48504 | 2018-05-09 |
| 1982108551 | Dawn Michelle Conklin | Physical Therapist | 1069 N Ballenger Hwy, Flint, MI 48504 | 2018-03-20 |
| 1699295204 | Stephen Thomas Holt | Dentist | 2501 West Pierson Road, Units B-d, Flint, MI 48504 | 2017-06-23 |
| 1841601739 | Charles Davis | Pharmacist | 4333 W. Pierson Rd. G, Flint, MI 48504 | 2014-05-13 |
| 1609151109 | All American Pharmacy LLC | Pharmacy | 3104-3106 Flushing Rd, Flint, MI 48504 | 2011-10-15 |
| 1972814143 | Ballenger Pharmacy Center | Pharmacy | 1073 N Ballenger Hwy, Flint Twp, MI 48504 | 2010-06-23 |
| 1932357837 | Katherine Ann Kogelmann | Social Worker | 1420 W. University, Flint, MI 48504 | 2008-09-04 |
| Find all providers in zip 48504 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654724 | Connie Sue Fiser | Nurse Practitioner | 248 Cass Cir, Flint, TX 75762-6990 | 2020-09-21 |
| 1518341965 | Diane Kay Holmes | Nurse Practitioner | 2486 Nerredia St Ste E, Flint, MI 48532-4807 | 2015-07-15 |
| 1942600176 | Kimberly A Vanslyke-smith | Nurse Practitioner | 600 S Saginaw St, Flint, MI 48502-1506 | 2014-08-25 |
| 1619984978 | Christine Cecilia Cheneworth | Nurse Practitioner | 303 E Kearsley Street, University of Michigan- Flint Urban Health & Wellness, Flint, MI 48502-1950 | 2006-08-01 |
| 1952354631 | Francesca M Petrilli | Nurse Practitioner | 725 Mason St, Flint, MI 48503-2421 | 2006-05-17 |
| 1902803877 | Patrick Dale Hawkins | Nurse Practitioner | 2486 Nerredia St, Flint, MI 48532-4807 | 2005-07-06 |
| 1306372339 | Kappel Elite LLC | Nurse Practitioner | G4007 W Court St, Ste G2, Flint, MI 48532-3560 | 2017-05-11 |
| 1356893366 | Shauna Franice Cooks | Nurse Practitioner | 2700 Robert T Longway Blvd, Suite B, Flint, MI 48503-2190 | 2016-10-26 |
| 1750839312 | Ryan Wasielewski | Nurse Practitioner | 2700 Robert T Longway Blvd, #2, Flint, MI 48503-2190 | 2016-09-13 |
| 1043603558 | Karen Driskill | Nurse Practitioner | 5020 W Bristol Rd, Flint, MI 48507-2919 | 2015-03-08 |
| Find all providers in FLINT | ||||
Please comment or provide details below to improve the information on MRS. LISA M. LUCAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.