Provider Demographics
NPI:1215389010
Name:LUCAS OAKS, EVA SARA
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:SARA
Last Name:LUCAS OAKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1057 BLACKRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-2719
Mailing Address - Country:US
Mailing Address - Phone:412-953-8279
Mailing Address - Fax:
Practice Address - Street 1:1057 BLACKRIDGE RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-2719
Practice Address - Country:US
Practice Address - Phone:412-953-8279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-06
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker