Provider Demographics
NPI:1902979784
Name:LUCAS, FRANK HODGES
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:HODGES
Last Name:LUCAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 E PATRICK HENRY HWY
Mailing Address - Street 2:
Mailing Address - City:BURKEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23922-0427
Mailing Address - Country:US
Mailing Address - Phone:434-767-4922
Mailing Address - Fax:434-767-4935
Practice Address - Street 1:5001 EAST PATRICK HENRY HWY
Practice Address - Street 2:
Practice Address - City:BURKEVILLE
Practice Address - State:VA
Practice Address - Zip Code:23922-0427
Practice Address - Country:US
Practice Address - Phone:434-767-4922
Practice Address - Fax:434-767-4935
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02020045851835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
VABP3205855OtherDEA
VABP3205855OtherDEA