Provider Demographics
NPI:1982970976
Name:HELLER, LUCAS (MD)
Entity type:Individual
Prefix:DR
First Name:LUCAS
Middle Name:
Last Name:HELLER
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 1:8775 NORWIN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-7705
Mailing Address - Country:US
Mailing Address - Phone:833-604-7211
Mailing Address - Fax:724-537-1066
Practice Address - Street 1:8775 NORWIN AVE STE 100
Practice Address - Street 2:
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-7705
Practice Address - Country:US
Practice Address - Phone:833-604-7211
Practice Address - Fax:724-537-1066
Is Sole Proprietor?:No
Enumeration Date:2012-03-24
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD454094207RE0101X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program