Provider Demographics
NPI:1255771929
Name:KADRI-RODRIGUEZ, LUCAS Y (AUD, PHD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:LUCAS
Middle Name:Y
Last Name:KADRI-RODRIGUEZ
Suffix:
Gender:M
Credentials:AUD, PHD, CCC-A
Other - Prefix:DR
Other - First Name:LUCAS
Other - Middle Name:A
Other - Last Name:LANCASTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD, PHD, CCC-A
Mailing Address - Street 1:5107 ARRIT CT
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-1517
Mailing Address - Country:US
Mailing Address - Phone:407-738-3886
Mailing Address - Fax:
Practice Address - Street 1:2092 GAITHER RD STE 100
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-4016
Practice Address - Country:US
Practice Address - Phone:301-424-5200
Practice Address - Fax:301-424-8063
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCAUD000151231H00000X
VA2201001571231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist