Provider Demographics
NPI:1720427339
Name:LUCAS INVESTMENTS LLC
Entity Type:Organization
Organization Name:LUCAS INVESTMENTS LLC
Other - Org Name:EXECUTIVE SHUTTLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MYRDALE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-291-3021
Mailing Address - Street 1:8217 S 19TH WAY
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85042-6841
Mailing Address - Country:US
Mailing Address - Phone:602-291-3021
Mailing Address - Fax:
Practice Address - Street 1:8217 S 19TH WAY
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85042-6841
Practice Address - Country:US
Practice Address - Phone:602-291-3021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ39988344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi