| Irene Lucas M.d. | |
|
62 N Mountain Blvd Mountain Top PA 18707-1117 | |
| (570) 474-6562 | |
| (570) 474-0796 |
| Full Name | Irene Lucas M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 62 N Mountain Blvd, Mountain Top, Pennsylvania |
| Authorized Official Name and Position | Irene Lucas (DOCTOR) |
| Authorized Official Contact | 5704746562 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irene Lucas M.d. 62 N Mountain Blvd Mountain Top PA 18707-1117 Ph: (570) 474-6562 | Irene Lucas M.d. 62 N Mountain Blvd Mountain Top PA 18707-1117 Ph: (570) 474-6562 |
| NPI Number | 1245433887 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245433887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD033970E (Pennsylvania) | Primary |
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