Caleb D. Lucas PA-C - Medical Physician Assistant in Tampa, Florida | ProviderWire

Full Name

Caleb D. Lucas PA-C

NPI Number

1316286651

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/06/2013

Specialties

(Taxonomies)

Name

Medical Physician Assistant

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

West Virginia

License Number

PA9113415

1714

Contact
Information

Purpose

Mailing

Location

Address

PO BOX 198441

12902 USF MAGNOLIA DR

City

Atlanta

Tampa

State

GA

FL

Postal Code

30384-8441

33612-9416

Country

US

US

Telephone Number

N/A

(813) 745-4673

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/28/2020

Provider Address

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