LISA W LUCAS (NPI# 1104156769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104156769 |
| Entity Type | Individual |
| Full Name | LISA W LUCAS |
| Credential | D.O. |
| Practice Address |
42 Mallett Dr Ste 3 Freeport ME 04032-1355 |
| Practice Telephone | 2078695815 |
| Mailing Telephone | 2078695815 |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2020-02-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DO2648 | ME | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449750 | Lisa M Lucas | Speech-Language Pathologist | 2813 Crittwoods Ct, Cincinnati, OH 45244-3809 | 2020-05-18 |
| 1396091021 | Lisa K Lucas | Hearing Instrument Specialist | 101 E Moreland Rd, Ste A, Willow Grove, PA 19090-4109 | 2012-07-31 |
| 1871774869 | Lisa Lynn Lucas | Registered Nurse | 1060 Jefferson Ave, Memphis, TN 38104-9411 | 2007-11-18 |
| 1104465624 | Lisa Gail Lucas | Behavior Technician | 4624 Park St, Jacksonville, FL 32205-7327 | 2020-01-01 |
| 1881113579 | Lisa Danielle Lucas | Counselor | 1126 Gateway Loop Ste 140, Springfield, OR 97477-7722 | 2017-09-13 |
| 1689039794 | Lisa Lucas | Social Worker | 786 Mountain Blvd, Watchung, NJ 07069 | 2015-12-17 |
| 1275839615 | Lisa M. Lucas | Nurse Practitioner | 4215 W Pasadena Ave, Suite 2, Flint, MI 48504-2342 | 2011-02-02 |
| 1215158795 | Lisa Lucas | Nurse's Aide | 2250 Hickory Road, Suite 240, Plymouth Meeting, PA 19462 | 2007-05-01 |
| 1881753143 | Lisa Marie Lucas | General Practice | 3525 W Oxford Ave, Denver, CO 80236-3127 | 2006-12-06 |
| 1043327208 | Lisa D Lucas | Counselor | 7000 E Genesee St, Bldg. A, Fayetteville, NY 13066-1131 | 2006-08-24 |
| Street Address |
42 MALLETT DR STE 3 |
| City | FREEPORT |
| State | ME |
| Zip Code | 04032-1355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801355920 | Joyce Mary Nadeau | Psychologist | 4 Picnic Hill Rd, Freeport, ME 04032 | 2019-03-18 |
| 1689157729 | Tim Spaulding | Occupational Therapist | Hawthorne House, 6 Old County Rd, Freeport, ME 04032 | 2018-09-14 |
| 1538698212 | Travis Jeffery Bouchard | Surgery | 601 E. Hampden Ave., #220, Englewood, CA 04032 | 2017-06-07 |
| 1649522608 | Heather Danielle Parlin | Counselor | 19 Hunter Rd, Freeport, ME 04032 | 2012-10-15 |
| 1609137843 | Access Health Renewal | Clinic/Center | 174 So. Freeport Road, Suite 2a, Freeport, ME 04032 | 2012-06-05 |
| 1942571427 | Meghan Kathleen Gorchoff | Counselor | 13 Foggs Pt. Rd., Freeport, ME 04032 | 2012-01-16 |
| 1043435928 | Meredith Wall | Physician Assistant | 7 Campus Drive, Intermed Onsite At Llbean, Freeport, ME 04032 | 2007-04-16 |
| 1437212990 | Phoebe Snovek Prosky | Social Worker | 143 Flying Point Rd, Freeport, ME 04032 | 2006-12-18 |
| 1801955364 | Kenneth Eugene Koenke | Dentist | 37 Bow St, Freeport, ME 04032 | 2006-12-08 |
| 1497851885 | Kathleen Ellen Sullivan | Social Worker | 16 Lincoln St., Suite C, Brunswick, ME 04032 | 2006-09-15 |
| Find all providers in zip 04032 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376746982 | Stephen Welch | Family Medicine | 3002 Wheatland Ter, Freeport, IL 61032-2996 | 2007-06-10 |
| 1790837714 | Marc-anthony Louis Charles | Family Medicine | 334 W Merrick Rd, Freeport, NY 11520 | 2007-01-18 |
| 1821194267 | David Martin Johnson | Family Medicine | 36 Old South Freeport Road, Freeport, ME 04032-6146 | 2006-09-15 |
| 1659481844 | Michael J. Muise | Family Medicine | 1301 Kiwanis Dr, Freeport, IL 61032-6907 | 2006-08-30 |
| 1477595858 | Freeport Family Medicine LLC | Family Medicine | 1588 Highway 20 West, Freeport, FL 32439 | 2006-06-12 |
| 1700824000 | Brian Keith Knighton | Family Medicine | 42 Mallett Dr, Freeport, ME 04032-1355 | 2006-06-02 |
| 1881649747 | Brazosport Community Medical Clinic | Family Medicine | 606 N Gulf Blvd, Freeport, TX 77541-3902 | 2006-05-22 |
| 1972579175 | Michael R Perry | Family Medicine | 10 W Linden St, Freeport, IL 61032-3310 | 2006-02-27 |
| 1780657270 | Brian T Bennett | Family Medicine | 3001 Highland View Dr, Freeport, IL 61032-6942 | 2006-02-07 |
| 1528030202 | Beth A Kalnins | Family Medicine | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2006-02-06 |
| Find all providers in FREEPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.