Provider Demographics
NPI:1093128076
Name:LUCAS, FELICIA RHUCAYA (MD)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:RHUCAYA
Last Name:LUCAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:955 POWELL AVE SW
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-2908
Mailing Address - Country:US
Mailing Address - Phone:425-277-1311
Mailing Address - Fax:425-277-1566
Practice Address - Street 1:219 STATE AVE N STE 100
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-4543
Practice Address - Country:US
Practice Address - Phone:253-372-3602
Practice Address - Fax:253-852-4879
Is Sole Proprietor?:No
Enumeration Date:2014-06-06
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IDM-15258207Q00000X
MT67042207Q00000X
WAMD61593047207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine