Jackie Lucas
Obstetrician & Gynecologist
1025 Morehead Medical Dr Ste 450
Charlotte
, North Carolina 28204-2963
Jackie Lucas
Obstetrician & Gynecologist
1025 Morehead Medical Dr Ste 450
Charlotte
, North Carolina 28204-2963
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Jackie Lucas
- Po Box 19305
- Charlotte, NC
- Zip : 28219-9305
- Phone :
Second Address
- Jackie Lucas
- 1025 Morehead Medical Dr Ste 450
- Charlotte, NC
- Zip : 28204-2963
- Phone : (704) 446-7800
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FAQs
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What type of doctor is Jackie Lucas
In what state does Jackie Lucas practice in?
Where is Jackie Lucas ’s practice located?
What is Jackie Lucas ’s gender?
Is Jackie Lucas a sole practitioner?
Is Jackie Lucas accepting new patients?
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Does Jackie Lucas offers telemedicine?
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What is Jackie Lucas ’s NPI number?
Does Jackie Lucas have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 27386 | NC |
National Provider Identifier
| NPI | 1003846064 |
|---|---|
| Provider Name | Jackie Lucas |
| First Address | Charlotte, NC 28219-9305 |
| Second Address | Charlotte, NC 28204-2963 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/07/2006 |
| Last Update Date | 27/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C85236 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.