Lucas Alexander, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Goodyear, AZ
NPI 1104767623 · NPPES record last updated Apr 1, 2026
Key facts
- NPI
- 1104767623
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 13677 W McDowell Rd
Goodyear, AZ 85395-2635 - Phone
- (623) 882-1500
- NPI assigned
- Apr 1, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | AZ | Yes |
Addresses
Primary practice location
13677 W McDowell Rd
Goodyear, AZ 85395-2635
Mailing address
6425 E Rodeo St
Bel Aire, KS 67226-1427
Phone (316) 708-6760
Other names
- Lucas Mamaoag
Other providers in Goodyear, AZ
- Alam, LLC
- Muhammad A Alam
- Marianne Antony Alapatt
- Rabiha Alathman
- Emily Alden
- Mirabella Alexandru
- Elise Gabrielle Alford
- Alif Group PLLC
- Align Physical Therapy and Wellness, LLC
- Elmira Alitabar
All providers in Goodyear, AZ · Student in an Organized Health Care Education/Training Program in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.