Provider Demographics
NPI:1013163849
Name:LUCAS, QUINTON ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:QUINTON
Middle Name:ALAN
Last Name:LUCAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 N WASHINGTON ST STE 248
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-2397
Mailing Address - Country:US
Mailing Address - Phone:571-458-6318
Mailing Address - Fax:202-773-4001
Practice Address - Street 1:950 N WASHINGTON ST STE 248
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2397
Practice Address - Country:US
Practice Address - Phone:571-458-6318
Practice Address - Fax:202-773-4001
Is Sole Proprietor?:No
Enumeration Date:2008-08-12
Last Update Date:2022-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101246121207Q00000X, 2083C0008X
MDD72895207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083C0008XAllopathic & Osteopathic PhysiciansPreventive MedicineClinical Informatics