MR. WILLIAM CLYDE LUCAS FNP NPI 1366542193

NPI Information

NPI: 1366542193
Provider Name: MR. WILLIAM CLYDE LUCAS, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
7640 W. MAVERICK RD.
SAHUARITA, AZ
ZIP 85629
Phone: (520) 625-5853
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MR. William Clyde Lucas, FNP is a family nurse practitioner in Sahuarita, AZ. MR. William Clyde Lucas, FNP NPI is 1366542193. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7640 W. MAVERICK RD.
SAHUARITA, AZ
ZIP 85629
Phone: (520) 625-5853

The enumeration date for this NPI number is 9/22/2006 and was last updated on 7/8/2007.

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	363LF0000X	Nurse Practitioner	Family	RN 039777	ARIZONA	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
1	29580	MEDICARE ID-TYPE UNSPECIFIED
2	Z79159	MEDICARE ID-TYPE UNSPECIFIED
3	S70450	MEDICARE UPIN

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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