DIANE JANEAN LUCAS NPI 1114415718

NPI Information

NPI: 1114415718
Provider Name: DIANE JANEAN LUCAS
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
3016 NW 41ST ST APT 27
OKLAHOMA CITY, OK
ZIP 73112
Phone: (405) 968-5074
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Diane Janean Lucas is a peer specialist in Oklahoma City, OK. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Diane Janean Lucas NPI is 1114415718. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3016 NW 41ST ST APT 27
OKLAHOMA CITY, OK
ZIP 73112-291
Phone: (405) 968-5074

The enumeration date for this NPI number is 4/29/2018 and was last updated on 4/29/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	04141417	OTHER	OKLAHOMA	HEALTHCHOICE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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