Active NPIIndividual provider

Deborah Mclucas, PA

Physician Assistant, Medical in Medford, Massachusetts

NPI Number1366580953
Practice location
26 City Hall Mall, Medford, MA 02155-4754
Fax
—
Last updated
July 31, 2008

Deborah Mclucas is a Physician Assistant, Medical based in Medford, MA. Deborah Mclucas practices in Medford, MA and has the professional credentials of PA. The NPI Number for Deborah Mclucas is 1366580953 and holds a License No. 1437 (MA). The current practice location address for Deborah Mclucas is 26 City Hall Mall, Medford, MA 02155-4754 and can be reached out via phone at 781-306-5100.

Provider Profile Details

NPI Number
1366580953
Provider Name
Deborah Mclucas
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
26 City Hall Mall, Medford, MA 02155-4754
Phone Number
781-306-5100
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Other Names
-- Deborah Medeiros, PA (Former Name)
Provider Enumeration Date
February 3, 2007
Last Update Date
July 31, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 City Hall Mall
Medford, MA 02155-4754
Zip
02155-4754
Phone Number
781-306-5100
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
147 Milk St Fl 9
Provider Enrollment
Boston, MA 02109-4806
City
Boston
State
MA
Zip
02109-4806
Phone Number
617-559-8374
Fax Number
617-421-3487

License Information

License Number
1437
License State
MA
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Deborah Mclucas, PA?

The NPI number of Deborah Mclucas, PA is 1366580953. It was assigned on February 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Deborah Mclucas, PA?

Deborah Mclucas, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number 1437.

Where does Deborah Mclucas, PA practice?

The practice location is 26 City Hall Mall, Medford, MA 02155-4754. The office can be reached at 781-306-5100 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366580953 directly on the NPPES registry website.

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