MRS. ELIZABETH ANNE LUCAS


Address: 17141 Ryan Rd, Detroit, MI 48212-1112
Phone: 3133691717

MRS. ELIZABETH ANNE LUCAS (NPI# 1871815712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871815712
Entity Type Individual
Full Name MRS. ELIZABETH ANNE LUCAS
Other Name MISS ELIZABETH ANNE PEABODY
Credential RN
Practice Address 17141 Ryan Rd
Detroit
MI 48212-1112
Practice Telephone 3133691717
Mailing Telephone 3133691717
Enumeration Date 2010-02-19
Last Update Date 2010-09-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
4704211535 MI Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
4704211535 MI Physician Assistants & Advanced Practice Nursing Providers

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1194941112 Elizabeth J. Lucas Internal Medicine 700 Childrens Dr, Columbus, OH 43205-2664 2007-04-18

Office Location

Street Address 17141 RYAN RD
City DETROIT
State MI
Zip Code 48212-1112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841204641 The Adult Psychiatric Clinic Counselor 17141 Ryan Rd, Detroit, MI 48212-1112 2006-07-28
1376057828 Lori Lennon Peer Specialist 17141 Ryan Rd, Detroit, MI 48212-1112 2017-11-20
1285010462 Brandon Luke Technician, Other 17141 Ryan Rd, Detroit, MI 48212-1112 2015-08-10
1952780611 Krupa Mehta Case Manager/Care Coordinator 17141 Ryan Rd, Detroit, MI 48212 2015-05-27
1609275650 Layna Johnson Social Worker 17141 Ryan Rd, Detroit, MI 48212-1112 2014-08-15
1720496565 Charles Vincent Ramsey Social Worker 17141 Ryan Rd, Detroit, MI 48212-1112 2014-07-24
1528475902 Alicia Scher Social Worker 17141 Ryan Rd, Detroit, MI 48212-1112 2014-07-17
1952712598 Dolores Shank Registered Nurse 17141 Ryan Rd, Detroit, MI 48212-1112 2014-05-16
1700209913 Claudia Jean-pierre Counselor 17141 Ryan Rd, Detroit, MI 48212-1112 2014-01-23
1821410291 Celestine Spruille Social Worker 17141 Ryan Rd, Detroit, MI 48212-1112 2014-01-20
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Providers in the same zip code

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1942770631 Joann Harrison Nurse Practitioner 17941 St. Aubin Street, Detroit, MI 48212 2018-11-26
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1821180274 Carla J Groh Nurse Practitioner 5555 Conner, Suite 2691, Detroit, MI 48213 2006-09-29
1124054408 Patricia Frances Yourchock Orr Nurse Practitioner 4464 Burton St, Upper Unit, Detroit, MI 48210-2402 2006-06-25
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1720621535 Rebecca Anne Hibbs Nurse Practitioner 22101 Moross Rd, Detroit, MI 48236-2148 2019-10-24
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Competitor

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City DETROIT
Zip Code 48212

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Dataset Information

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.

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