Irene Lucas M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD033970E Issued in PA

Legal business name

IRENE LUCAS M.D.

Practice address

62 N Mountain Blvd
Mountain Top, PA 18707-1117

Phone

(570) 474-6562

Fax

(570) 474-0796

NPI assigned

Jun 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Irene Lucas, M.D.NPI 1831181270

Title

Doctor

Phone

(570) 474-6562

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Irene Diane Lucas, MD

  • Family Medicine Physician
  • Mountain Top, PA
  • NPI 1831181270
  NPD (past) Authorized official

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245433887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 N MOUNTAIN BLVD",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071117",
            "telephone_number": "570-474-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 N MOUNTAIN BLVD",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071117",
            "telephone_number": "570-474-6562",
            "fax_number": "570-474-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE LUCAS M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "570-474-6562",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD033970E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher R. Holtz, D.O.
• Keefer Hoover
• Micahel John Humen, ATC, MED
• Bryanna Hurn, FNP-C
• Independent Life Home Care & Staffing Solutions LLC
• Ann Louise Jardine, CLINICAL SOCIAL WORK
• Nancy Jeffery, OTR/L
• Maureen Ann Jesikiewicz, RPH
• John a Hosage DDS
• James Joseph Johns DDS Jr., DDS

• Family Medicine Physician in Mountain Top, PA
• Providers in Mountain Top, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.