Sean R. Lucas
Allergist & Immunologist
1017 Ashes Dr Suite 206
Wilmington
, North Carolina 28405-8308
Sean R. Lucas
Allergist & Immunologist
1017 Ashes Dr Suite 206
Wilmington
, North Carolina 28405-8308
(910) 679-4086
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Sean R. Lucas
- 1017 Ashes Dr Suite 206
- Wilmington, NC
- Zip : 28405-8308
- Fax : (910) 679-4086
- Phone : (910) 239-9584
Second Address
- Sean R. Lucas
- 1017 Ashes Dr Suite 206
- Wilmington, NC
- Zip : 28405-8308
- Fax : (910) 679-4086
- Phone : (910) 239-9584
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 2007-01120 | NC |
National Provider Identifier
| NPI | 1023030459 |
|---|---|
| Provider Name | Sean R. Lucas |
| First Address | Wilmington, NC 28405-8308 |
| Second Address | Wilmington, NC 28405-8308 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2006 |
| Last Update Date | 20/11/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2071622 | MEDICARE PTAN (01) | NC |
| 5907576 | (05) | 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.