Provider Demographics
NPI:1881310670
Name:LUCAS, MORGAN (ND)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:LUCAS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5295 TOSCANA WAY APT 746
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-5322
Mailing Address - Country:US
Mailing Address - Phone:603-714-5229
Mailing Address - Fax:
Practice Address - Street 1:5295 TOSCANA WAY APT 746
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-5322
Practice Address - Country:US
Practice Address - Phone:603-714-5229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1382175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath