Provider Demographics
NPI:1346524154
Name:LUCAS, ELIZABETH S (DO)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:S
Last Name:LUCAS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:RAE
Other - Last Name:SAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:403 SHARPES WOODS RD
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40977-7539
Mailing Address - Country:US
Mailing Address - Phone:423-444-3368
Mailing Address - Fax:
Practice Address - Street 1:473 N 12TH ST
Practice Address - Street 2:
Practice Address - City:MIDDLESBORO
Practice Address - State:KY
Practice Address - Zip Code:40965-1133
Practice Address - Country:US
Practice Address - Phone:606-302-5116
Practice Address - Fax:606-302-5117
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY03662207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine