Provider Demographics
NPI:1558728873
Name:LUCAS, LENSIE
Entity Type:Individual
Prefix:
First Name:LENSIE
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 1:8715 HIGHWAY 690
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:KY
Mailing Address - Zip Code:40145-7631
Mailing Address - Country:US
Mailing Address - Phone:270-945-0316
Mailing Address - Fax:
Practice Address - Street 1:8715 HIGHWAY 690
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:KY
Practice Address - Zip Code:40145-7631
Practice Address - Country:US
Practice Address - Phone:270-945-0316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-16
Last Update Date:2016-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical