Provider Demographics
NPI:1932363215
Name:KARAELIAS, LUCAS DOUGLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:LUCAS
Middle Name:DOUGLAS
Last Name:KARAELIAS
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 1:1911 JOHNSON AVE
Mailing Address - Street 2:FRENCH HOSPITAL/DEPARTMENT OF EMERGENCY MEDICINE
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-4131
Mailing Address - Country:US
Mailing Address - Phone:805-542-6633
Mailing Address - Fax:
Practice Address - Street 1:1911 JOHNSON AVE
Practice Address - Street 2:FRENCH HOSPITAL MEDICAL CTR/DEPT. OF EMERGENCY MEDICINE
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-4131
Practice Address - Country:US
Practice Address - Phone:805-542-6633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA97105207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine