ROBERTA LUCAS (NPI# 1326089061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326089061 |
| Entity Type | Individual |
| Full Name | ROBERTA LUCAS |
| Other Name | ROBERTA O'DEA |
| Credential | M.D. |
| Practice Address |
18 Old Etna Rd Dh Dermatology Lebanon NH 03756 |
| Practice Telephone | 6036504000 |
| Mailing Telephone | 6036504000 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2016-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 16482 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3097005 | 05 | |
| IL | 036-106720 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770515199 | Roberta Ward Lucas | Pediatrics | 595 E Crossville Rd, Ste 100, Roswell, GA 30075-5818 | 2006-07-07 |
| 1568538528 | Roberta Ann Lucas | Nurse Practitioner | 835 E 4800 S, Murray, UT 84107-5040 | 2006-11-28 |
| Street Address |
18 OLD ETNA RD DH DERMATOLOGY |
| City | LEBANON |
| State | NH |
| Zip Code | 03756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811997927 | Gregg Stephen Meyer | Internal Medicine | 18 Old Etna Rd, Dhmc Internal Medicine, Lebanon, NH 03766 | 2005-07-29 |
| 1780296780 | Kiersten Ann Wulff | Nurse Practitioner | 18 Old Etna Rd, Lebanon, NH 03766-1937 | 2020-08-20 |
| 1174170112 | Zachary R Witter | Physician Assistant | 18 Old Etna Rd, Lebanon, NH 03766 | 2019-08-23 |
| 1659834760 | Gabrielle Eugenie Duprat | Student in an Organized Health Care Education/Training Program | 18 Old Etna Rd, Lebanon, NH 03766-1937 | 2019-04-08 |
| 1386179125 | Katherine Lee | Student in an Organized Health Care Education/Training Program | 18 Old Etna Rd, Lebanon, NH 03766 | 2017-05-01 |
| 1376997767 | John E Call | Student in an Organized Health Care Education/Training Program | 18 Old Etna Rd, Lebanon, NH 03766-1937 | 2016-04-21 |
| 1013379262 | Brian Simmons | Dermatology | 18 Old Etna Rd, Lebanon, NH 03766-1937 | 2016-03-27 |
| 1780070185 | Ben J. Geishauser | Family Medicine | 18 Old Etna Rd, Lebanon, NH 03766-1937 | 2015-04-13 |
| 1538555016 | Kamal Patel | Student in an Organized Health Care Education/Training Program | 18 Old Etna Rd, Lebanon, NH 03766-1937 | 2015-04-10 |
| 1639575392 | Mindy Dube | Nurse Practitioner | 18 Old Etna Rd, Dartmouth Hitchcock - Primary Care, Lebanon, NH 03766-1937 | 2014-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790277796 | Sindri Aron Viktorsson | Student in an Organized Health Care Education/Training Program | Dartmouth- Hitchcock Medical Center, One Medical Center Dr, Lebanon, NH 03756 | 2018-06-05 |
| 1376078501 | Robert G.p. Murray | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Pediatric Residency Program, Children's Hospital At Dartmouth-hitchcock, Dartmouth H, Lebanon, NH 03756 | 2017-04-25 |
| 1063946242 | Keira Kilmartin | Student in an Organized Health Care Education/Training Program | One Medical Centre Drive, Pediatric Residency Program, Lebanon, NH 03756 | 2017-04-14 |
| 1194120691 | Clearchoicemd | Clinic/Center | 422 Miracle Mile Rd, Lebanon, NH 03756 | 2014-10-27 |
| 1629380159 | Rattanaporn Mahatanan | Internal Medicine | One Meical Center Drive, Dhmc Infectious Disease Department, Lebanon, NH 03756 | 2010-07-13 |
| 1780803833 | Kenneth W Travis | Anesthesiology | Darmouth Hitchock Med Ct, One Medical Ctre Drive, Lebanon, NH 03756 | 2007-04-25 |
| 1295950657 | Jillian R Ozmore | Genetic Counselor, MS | Dartmouth Hitchcock, One Medical Center Drive, Lebanon, NH 03756 | 2007-04-13 |
| 1609961119 | Athos John Rassias | Anesthesiology | Critical Care Medicine 1 Medical Center Drive, Dhmc, Lebanon, NH 03756 | 2006-10-03 |
| 1679592067 | Martha J Allen | Physician Assistant | Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-07-18 |
| 1194765768 | Joseph Livin Perras II | Internal Medicine | Dartmouth-hitchcock Clinic, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-06-08 |
| Find all providers in zip 03756 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528124195 | Kyle Leland Horner | Dermatology | 2500 S. Main Road, Lebanon, OR 97355 | 2006-12-28 |
| 1861555419 | Charles A. Mitchell | Dermatology | 206 Babb Dr # B, Lebanon, TN 37087-2508 | 2006-12-18 |
| 1205897840 | Judy Y Hu | Dermatology | 1405 Baddour Pkwy, Suite 101, Lebanon, TN 37087-2595 | 2006-03-31 |
| 1598745747 | Daniel G Zavadak | Dermatology | 923 Russell Dr, Lebanon, PA 17042-7487 | 2006-01-21 |
| 1063409845 | Charles Austin Mitchell Jr. | Dermatology | 206b Babb Dr, Lebanon, TN 37087-2508 | 2005-10-05 |
| 1952301301 | Georgia A Tuttle | Dermatology | 129 Mechanic St, Lebanon, NH 03766-1522 | 2005-07-28 |
| 1285103689 | Jessica A Barron | Dermatology | 107 Glidepath Way, Lebanon, TN 37090 | 2018-11-15 |
| 1013379262 | Brian Simmons | Dermatology | 18 Old Etna Rd, Lebanon, NH 03766-1937 | 2016-03-27 |
| 1538546957 | Carsten Robert Hamann | Dermatology | 1 Medical Dr Dept Of, Lebanon, NH 03756-1000 | 2015-05-05 |
| 1295155232 | Emily E Shaughnessy | Dermatology | 18 Old Etna Rd, Dermatology, Lebanon, NH 03766 | 2014-04-17 |
| Find all providers in LEBANON | ||||
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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.