Shelby Lucas, PA-C

NPI #1316956998 in Ardmore, Oklahoma

Provider Information

NPI Number: 1316956998
Entity Type: Individual
Name: Shelby Lucas, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 5, 2006
Last Updated: Aug 10, 2011

Practice Location

Address: 908 N ROCKFORD ROAD
Address 2: SUITE A
City: Ardmore
State: Oklahoma
ZIP Code: 73401-2541
Phone: (580) 226-7771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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