| Doctor Name: | MARLENE LUCAS |
| NPI Number: | 1710106638 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 6401 |
| Business Practice Address: | 11426 Vanowen St N Hollywood, CA - 916056218 |
| Business Phone Number: | 8187595100 |
| Business Fax Number: | |
| Mailing Address: | 11426 Vanowen St, N HOLLYWOOD |
| State: | CA |
| Postal Code: | 916056218 |
| Phone Number: | 8187595100 |
| Fax Number: | |
| NPI Enumeration Date: | 04/25/2007 |
| NPI Last Update Date: | 09/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | 6401 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |