Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 0101042776 | VA |
Y | 207KA0200X | Allergist | D0035368 | MD |
N | 207KA0200X | Allergist | MD11321 | DC |
NPI | 1558408013 |
---|---|
Provider Name | Dr. Sheryl E Lucas |
First Address | Rockville, MD 20852 |
Second Address | Washington, DC 20002-8100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 17/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C88836 | (02) |