Whalio Doctors

NPI 1003846064

Jackie Alan Lucas, MD

Practitioner Obstetrics & Gynecology Physician Charlotte, NC

Practice location

Address
1025 Morehead Medical Dr STE 450, Charlotte, NC 28204-2963
Phone
(704) 446-7800
Mailing address
PO Box 19305, Charlotte, NC 28219-9305

Registered specialties

Obstetrics & Gynecology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 27386 (NC)

Registry record

NPI
1003846064
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Jul 2006
Record last updated
9 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.