Lucas, Gayla Regina

Lucas, Gayla Regina is an individual health care provider with primary practice located at 228 Main St E , Ahoskie NC 27910-3418. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Lucas, Gayla Regina can be contacted via phone (252) 209-0388.

Contact Information

Primary practice address
228 Main St E Ahoskie NC 27910-3418
Phone: (252) 209-0388
Fax: (252) 209-0488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3486 North Carolina

Profile Details

NPI number 1376685834
LBN Legal business name Lucas, Gayla Regina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Jul 8th, 2007 - about 19 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 1376685834 NPPES
North Carolina MEDICAID 6107259
North Carolina Other 142CA

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