Provider Demographics
NPI:1457480170
Name:LECAS, LYNN KRISTEN (MD)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:KRISTEN
Last Name:LECAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:KRISTEN
Other - Last Name:ARCARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1803 CASTILLE DR
Mailing Address - Street 2:
Mailing Address - City:FLEMING ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32003-7044
Mailing Address - Country:US
Mailing Address - Phone:904-264-7988
Mailing Address - Fax:
Practice Address - Street 1:1601 SW ARCHER RD
Practice Address - Street 2:RADIOLOGY SERVICE (114)
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1135
Practice Address - Country:US
Practice Address - Phone:352-374-6064
Practice Address - Fax:352-379-4044
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC99002832085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology