Provider Demographics
NPI:1083335533
Name:MONCLA, LUCAS (PA)
Entity type:Individual
Prefix:
First Name:LUCAS
Middle Name:
Last Name:MONCLA
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Gender:
Credentials:PA
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Mailing Address - Street 1:2400 HOSPITAL DR STE 130
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-2386
Mailing Address - Country:US
Mailing Address - Phone:318-212-7990
Mailing Address - Fax:318-212-7995
Practice Address - Street 1:2400 HOSPITAL DR STE 130
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-2386
Practice Address - Country:US
Practice Address - Phone:318-212-7990
Practice Address - Fax:318-212-7995
Is Sole Proprietor?:No
Enumeration Date:2022-09-02
Last Update Date:2025-03-17
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant