Lucas, Shannon Dean

Lucas, Shannon Dean is an individual health care provider with primary practice located at 3345 Plaza 10 Dr Suite E, Beaumont TX 77707-2554. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Lucas, Shannon Dean can be contacted via phone (409) 838-2626.

Contact Information

Primary practice address
3345 Plaza 10 Dr Suite E Beaumont TX 77707-2554
Phone: (409) 838-2626
Fax: (409) 838-1980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 629586 Texas

Profile Details

NPI number 1790756898
LBN Legal business name Lucas, Shannon Dean
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Jul 31st, 2007 - about 17 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 1790756898 NPPES
Texas MEDICAID 146102201

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