Provider Demographics
NPI:1184823577
Name:SMITH-LUCAS, KARLA ANNTONETTE (FNPC)
Entity Type:Individual
Prefix:MS
First Name:KARLA
Middle Name:ANNTONETTE
Last Name:SMITH-LUCAS
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Gender:F
Credentials:FNPC
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Mailing Address - Street 1:1200 E COLLINS BLVD
Mailing Address - Street 2:SUITE #300
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-2450
Mailing Address - Country:US
Mailing Address - Phone:972-669-1733
Mailing Address - Fax:972-669-1403
Practice Address - Street 1:1200 E COLLINS BLVD
Practice Address - Street 2:SUITE #300
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-2450
Practice Address - Country:US
Practice Address - Phone:972-669-1733
Practice Address - Fax:972-669-1403
Is Sole Proprietor?:No
Enumeration Date:2007-07-16
Last Update Date:2016-07-18
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Provider Licenses
StateLicense IDTaxonomies
TX695675363LF0000X
TXAP116069363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily