Individual provider · Type 1 NPI

Bruce McMahon Lucas, LPN

Licensed Practical Nurse · Raleigh, NC

NPI number 1205706330 Active

Practice location

3921 Sunset Ridge Rd # 200
Raleigh, NC 27607-0162

Call (984) 974-3900 Map

Fax (984) 974-3621

Mailing address

5118 Lundy Dr
Raleigh, NC 27606-1528

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	90924 (NC)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1205706330

Bruce McMahon Lucas, LPN's National Provider Identifier is 1205706330, issued on Nov 5, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Raleigh, NC. The record was last updated on Nov 5, 2025.