Provider Demographics
NPI:1346886090
Name:LUCAS, ALISON
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:LUCAS
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 1:7220 SCOTSHIRE WAY
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-7396
Mailing Address - Country:US
Mailing Address - Phone:678-739-1835
Mailing Address - Fax:678-807-1344
Practice Address - Street 1:7220 SCOTSHIRE WAY
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-7396
Practice Address - Country:US
Practice Address - Phone:678-739-1835
Practice Address - Fax:678-807-1344
Is Sole Proprietor?:No
Enumeration Date:2019-11-18
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist