Individual provider · Type 1 NPI

Lisa Taylor Lucas, PA-C

Surgical Physician Assistant · Randallstown, MD

NPI number 1245706431 Active

Practice location

Northwest Hospital, 5401 Old Court Road
Randallstown, MD 21133

Call (410) 521-2200 Map

Mailing address

3311 Midfield Rd
Baltimore, MD 21208-4406

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1245706431

Lisa Taylor Lucas, PA-C's National Provider Identifier is 1245706431, issued on Oct 16, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Randallstown, MD. The record was last updated on Apr 29, 2022.