Provider Demographics
NPI:1689010241
Name:LUCAS TAXI INC
Entity Type:Organization
Organization Name:LUCAS TAXI INC
Other - Org Name:LUCAS TAXI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER/ PRESIDENT/ CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LESLIE
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:320-552-3148
Mailing Address - Street 1:870 GROVE ST SW
Mailing Address - Street 2:SUITE A
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350-3185
Mailing Address - Country:US
Mailing Address - Phone:320-552-3148
Mailing Address - Fax:
Practice Address - Street 1:870 GROVE ST SW
Practice Address - Street 2:SUITE A
Practice Address - City:HUTCHINSON
Practice Address - State:MN
Practice Address - Zip Code:55350-3185
Practice Address - Country:US
Practice Address - Phone:320-552-3148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-21
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN343900000X, 344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi