Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN D LUCAS
ActiveETHAN D LUCAS is a Peer Specialist healthcare provider located in MALDEN, Missouri. NPI 1992506554 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · MALDEN, MO
Registration Details
- NPI Number
- 1992506554
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2025 (1.4304900610757 yrs)
- Last Updated
- Mar 20, 2025
Practice Information
- Address
-
500 BARRETT THRIVEMALDEN, MO, 63863Browse MO providers · Browse ZIP 63863
- Phone
- 5738885925
- Primary Specialty
-
Peer Specialist
175T00000X
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.