Elizabeth Anne Lucas, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

99616-030 Issued in WI

Practice address

N2444 Doris St
Delavan, WI 53115-3379

Phone

(262) 203-3467

NPI assigned

Jun 15, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cannula Ear Cozy LLC

  • Registered Nurse
  • Delavan, WI
  • NPI 1407152556
  NPD (past) Authorized official

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1538480447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2444 DORIS ST",
            "city": "DELAVAN",
            "state": "WI",
            "postal_code": "531153379",
            "telephone_number": "262-203-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N2444 DORIS ST",
            "city": "DELAVAN",
            "state": "WI",
            "postal_code": "531153379",
            "telephone_number": "262-203-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WI",
            "license": "99616-030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IPN",
            "identifier": "38330600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Cameron Lee, RN
• Jeannie Lindskog, LPC
• Shandra Lock
• Jessica Gail Lois, PTA
• Ivy Lopez
• Michael Luckett, C.A.
• Julie R Lynch, DO
• Mari-Lyn Ellena Lynch, LPN
• David K Mahon, MD
• Kari Viola Marconnet, MPH, MS-N, RN

• General Practice Registered Nurse in Delavan, WI
• Providers in Delavan, WI by specialty
• General Practice Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.