Lucina Treatment Center, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LUCINA TREATMENT CENTER, LLC

Practice address

8140 Castleton Rd
Indianapolis, IN 46250

Phone

(317) 455-8246

Fax

(844) 565-8144

NPI assigned

Oct 9, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrew Roberts, MD

Title

Owner

Phone

(317) 455-8246

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1194275669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 CASTLETON RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502007",
            "telephone_number": "317-455-8246",
            "fax_number": "844-565-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 CASTLETON RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46250",
            "telephone_number": "317-455-8246",
            "fax_number": "844-565-8144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6017 Stoney Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468254410",
            "country_code": "US",
            "telephone_number": "260-267-5159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1542 S Dixon Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "46902",
            "country_code": "US",
            "telephone_number": "317-455-8246",
            "fax_number": "844-565-8144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2814 N Granville Ave",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473032119",
            "country_code": "US",
            "telephone_number": "765-570-5014",
            "fax_number": "844-565-8144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3623 E Southport Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462277837",
            "country_code": "US",
            "telephone_number": "317-455-8246",
            "fax_number": "844-565-8144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUCINA TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-09",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-455-8246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli R Lucia, D.D.S.
• Marcella Lucia
• Michelle Lee Lucia, MD
• Lucid Soul Wellness
• Lucilles House of Companion
• Ryan Lucker
• Laura Marie Luckett, MA CCC SLP
• Shivell Luckett, RBT
• Tonya Lynn Luckhardt, PTA
• John Leonard Luckoski, MD

• Internal Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.