Provider Demographics
NPI:1598802969
Name:LUCAS, DANA L (PA-C, MS)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:L
Last Name:LUCAS
Suffix:
Gender:F
Credentials:PA-C, MS
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:
Other - Last Name:CASTELLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C, MS
Mailing Address - Street 1:5 PLAINSBORO RD
Mailing Address - Street 2:STE 260
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-1915
Mailing Address - Country:US
Mailing Address - Phone:908-328-6566
Mailing Address - Fax:
Practice Address - Street 1:5 PLAINSBORO ROAD
Practice Address - Street 2:SUITE 260
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-1915
Practice Address - Country:US
Practice Address - Phone:908-328-6566
Practice Address - Fax:609-853-7209
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00092500363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical