| Doctor Name: | CHERYL LYNN LUCAS |
| NPI Number: | 1952774549 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACNP-AG |
| License Number: | AP129550 |
| Business Practice Address: | 1100 W Reynosa Ave De Leon, TX - 764441630 |
| Business Phone Number: | 2548935895 |
| Business Fax Number: | 2548935222 |
| Mailing Address: | 1100 W Reynosa Ave, DE LEON |
| State: | TX |
| Postal Code: | 764441630 |
| Phone Number: | 2548935895 |
| Fax Number: | 2548935222 |
| NPI Enumeration Date: | 11/05/2015 |
| NPI Last Update Date: | 11/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | AP129550 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |