Marlie E Lucas

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MARLIE E LUCAS

Practice address

1751 N Stockton Hill Rd Ste B
Kingman, AZ 86401-6601

Phone

(928) 715-9258

NPI assigned

Apr 8, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Marlie Elaine Lucas, FNP-BCNPI 1447370630

Title

FNP, Owner

Phone

(928) 715-9258

Specialties & licenses 1

Addresses

Other names 1

• Lucas Medical Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marlie E Lucas, FNP-BC

  • Nurse Practitioner
  • Lake Havasu City, AZ
  • NPI 1447370630
  NPD Authorized official

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1437612355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 N STOCKTON HILL RD STE B",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016601",
            "telephone_number": "928-715-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 N STOCKTON HILL RD STE B",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016601",
            "telephone_number": "928-715-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLIE E LUCAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "MARLIE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "FNP, OWNER",
        "authorized_official_telephone_number": "928-715-9258",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lucas Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kurtis A Manley, PA-C
• Christine E Manross, MS SLP
• Gina Manross, MS, LAC-21925
• Mantro Mobile Imaging, LLC
• Marigold Sunset CHS
• Robin Anne Marquez, FNP-C
• Hailey Martin
• Misty Martin, LISAC
• Vivian Jacqueline Martinez
• Wendy Eliza Martinez, PHARMACY TECH.

• Clinic/Center in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.