Provider Demographics
NPI:1699493361
Name:LUCAS, LETOYA E (DOULA)
Entity type:Individual
Prefix:
First Name:LETOYA
Middle Name:E
Last Name:LUCAS
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1317 SOUTHVIEW DR APT 202
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-4121
Mailing Address - Country:US
Mailing Address - Phone:120-251-7533
Mailing Address - Fax:
Practice Address - Street 1:1317 SOUTHVIEW DR APT 202
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-4121
Practice Address - Country:US
Practice Address - Phone:202-517-5337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula