Individual provider · Type 1 NPI

Dionne Lucas, PA C

Medical Physician Assistant · Waldorf, MD

NPI number 1912056003 Active

Practice location

10 St. Patrick's Drive
Waldorf, MD 20603-4527

Call (301) 705-7870 Map

Fax (301) 705-7628

Mailing address

24035 Three Notch Rd
Hollywood, MD 20636-4871

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC03495 (MD)
Medical Physician Assistant 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1912056003

Dionne Lucas, PA C's National Provider Identifier is 1912056003, issued on Jan 9, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Waldorf, MD. The record was last updated on Aug 19, 2026.