Provider Demographics
NPI:1629058268
Name:LUCAS, KAREN D (CRNA)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:D
Last Name:LUCAS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
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Mailing Address - Street 1:6420 CLAYTON ROAD
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1811
Mailing Address - Country:US
Mailing Address - Phone:314-768-8442
Mailing Address - Fax:314-768-8918
Practice Address - Street 1:6420 CLAYTON ROAD
Practice Address - Street 2:
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1811
Practice Address - Country:US
Practice Address - Phone:314-768-8442
Practice Address - Fax:314-768-8442
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO096916367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered