Bruce McMahon Lucas, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

90924 Issued in NC

Practice address

3921 Sunset Ridge Rd # 200
Raleigh, NC 27607-0162

Phone

(984) 974-3900

Fax

(984) 974-3621

NPI assigned

Nov 5, 2025

Last updated

Nov 5, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1205706330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5118 LUNDY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276061528",
            "telephone_number": "919-579-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 SUNSET RIDGE RD # 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276070162",
            "telephone_number": "984-974-3900",
            "fax_number": "984-974-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "BRUCE",
        "middle_name": "MCMAHON",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "90924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LST Nutrition Constultants
• Rommel Perillo Lu, MD
• Valerie J. Luberecki, LCSW
• Elizabeth Lucarelli, MS, NCC, LCMHCS
• Vicki Levon Lucas-Crowder
• Curtis Lucas, PH.D
• Deanna Lucas
• Joshua Carl Lucas
• Justin Roland Lucas
• Keila Lucas

• Licensed Practical Nurse in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Licensed Practical Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.