Provider Demographics
NPI:1093287989
Name:LUCAS, NATALIE A (HAS)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:A
Last Name:LUCAS
Suffix:
Gender:F
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 PLANTATION PARK DR STE 102
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-6072
Mailing Address - Country:US
Mailing Address - Phone:843-706-2933
Mailing Address - Fax:
Practice Address - Street 1:23 PLANTATION PARK DR STE 102
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-6072
Practice Address - Country:US
Practice Address - Phone:843-706-2933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-18
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCHAS-0647237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist