Lucas, Avis J

Lucas, Avis J is an individual health care provider with primary practice located at 950 N Porter Ave Ste 200 , Norman OK 73071. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lucas, Avis J can be contacted via phone (405) 329-0121.

Contact Information

Primary practice address
950 N Porter Ave Ste 200 Norman OK 73071
Phone: (405) 329-0121
Fax: (405) 292-6099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 618 Oklahoma

Profile Details

NPI number 1487693743
LBN Legal business name Lucas, Avis J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Aug 1st, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487693743 NPPES
Oklahoma MEDICAID 200048200A

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