Provider Demographics
NPI:1811487614
Name:LUCAS, ERIN ELIZABETH (PA-C)
Entity type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:ELIZABETH
Last Name:LUCAS
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2647 UNION DR
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50011-2034
Mailing Address - Country:US
Mailing Address - Phone:515-294-5801
Mailing Address - Fax:515-294-1190
Practice Address - Street 1:2647 UNION DR
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50011-2034
Practice Address - Country:US
Practice Address - Phone:515-294-5801
Practice Address - Fax:515-294-1190
Is Sole Proprietor?:No
Enumeration Date:2018-05-16
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA091181363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant