Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA LUCAS, PA
DeactivatedAMANDA LUCAS, PA is a Physician Assistant healthcare provider located in COLUMBIA, Missouri. NPI 1639389703 is deactivated in the NPPES registry. Verify at CMS.
Physician Assistant · COLUMBIA, MO
This NPI has been deactivated.
The record was deactivated on July 28, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1639389703
- Provider Type
- Individual
- Gender
- Unknown
- NPI Issued
- May 23, 2007 (13.180821917808 yrs)
- Last Updated
- Sep 17, 2024
- Deactivated
- Jul 28, 2020
- License
-
2006039114 (MO)
Practice Information
- Address
-
1200 E BROADWAYCOLUMBIA, MO, 652014978Browse MO providers · Browse ZIP 65201
- Phone
- 5734415107
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in COLUMBIA, MO
| Name | Credential | NPI |
|---|---|---|
| DAVID H NEIGHBORS | P.A. | 1689673592 |
| STANLEY P HUMPHREYS | PA-C | 1972596427 |
| JEFFREY K EARLY | PA-C | 1881687333 |
| MARK F WILDMAN | PA-C | 1922091560 |
| WILLIAM A BOCKOVEN | PA-C | 1831182476 |
| ROBERT R SMITH | PA-C | 1336132885 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.