Basic Information
| Provider Information | |||||||||
| NPI: | 1972834232 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LUCAS | ||||||||
| FirstName: | CAROLINE | ||||||||
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| Credential: | ACNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 401 COLLEGE ST | ||||||||
| Address2: | VCUHS AT MASSEY CANCER CENTER, PO BOX 980292 | ||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232985017 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8048287999 | ||||||||
| FaxNumber: | 8048274150 | ||||||||
| Practice Location | |||||||||
| Address1: | 401 COLLEGE ST | ||||||||
| Address2: | VCUHS AT MASSEY CANCER CENTER | ||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232985017 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8048287999 | ||||||||
| FaxNumber: | 8048274150 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/26/2010 | ||||||||
| LastUpdateDate: | 08/12/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2100X | 0024168560 | VA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care |
No ID Information.