Provider Demographics
NPI:1518735158
Name:LUCAS, BRITNI NICOLE
Entity type:Individual
Prefix:MRS
First Name:BRITNI
Middle Name:NICOLE
Last Name:LUCAS
Suffix:
Gender:F
Credentials:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2323 N CENTRAL EXPY
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-2712
Mailing Address - Country:US
Mailing Address - Phone:214-453-4533
Mailing Address - Fax:
Practice Address - Street 1:1530 S DALLAS PKWY STE 116
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009-4297
Practice Address - Country:US
Practice Address - Phone:945-677-9715
Practice Address - Fax:945-677-9716
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-13
Last Update Date:2025-05-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant