Lucas Carson, MS, LAT, ATC, CPT
Individual provider Active NPI Athletic Trainer · Banner Elk, NC
NPI 1851793145 · NPPES record last updated Sep 18, 2014
Key facts
- NPI
- 1851793145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 2223 (NC)
- Practice address
- 191 Main St
Banner Elk, NC 28604-0128 - Phone
- (828) 898-8892
- Fax
- (828) 898-8742
- NPI assigned
- Sep 18, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2223 | NC | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2223 | NC | Yes |
Addresses
Primary practice location
191 Main St
Banner Elk, NC 28604-0128
Mailing address
198 Beech Haven Rd
P.O. Box 162
Banner Elk, NC 28604
Phone (724) 504-8804
Other providers in Banner Elk, NC
- Dennis Robert Blair
- Blue Ridge Family Health Care Plus
- Blue Ridge Medical Management Corporation
- Brandon Blake DDS PA
- Shannon Logel Canterbury
- Charles a Cannon Jr Memorial Hospital, Inc.
- Christine Halterman PLLC
- Christine Halterman PLLC
- Consolidated Resources Health Care Fund I, L.P.
- Roberta Spencer Cook
All providers in Banner Elk, NC · Athletic Trainer in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.