Lucas, Julie Rose

Lucas, Julie Rose is an sole proprietor health care provider with primary practice located at 75 S University Blvd Ucom 6000 A, Mobile AL 36688-0002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lucas, Julie Rose can be contacted via phone (251) 660-5787.

Contact Information

Primary practice address
75 S University Blvd Ucom 6000 A Mobile AL 36688-0002
Phone: (251) 660-5787
Fax: (251) 660-5540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-217 Alabama

Profile Details

NPI number 1780623942
LBN Legal business name Lucas, Julie Rose
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2006
Last updated May 12th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780623942 NPPES
Alabama MEDICAID 009930270
Alabama MEDICAID 0124863
Alabama Other 51098015
Alabama Other 51098018

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