| Lorenzen Lucas, | |
|
600 B St, Livingston, CA 95334-9593 | |
| (209) 850-3500 | |
| Not Available |
| Full Name | Lorenzen Lucas |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 600 B St, Livingston, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073911087 | NPI | - | NPPES |
| PA09585 | Other | TX | TEXAS MEDICAL BOARD |
| 346983501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA09585 (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA54129 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lorenzen Lucas, 600 B St Bldg A, Livingston, CA 95334-9593 Ph: (209) 850-3500 | Lorenzen Lucas, 600 B St, Livingston, CA 95334-9593 Ph: (209) 850-3500 |
Brooke Morgan Casey, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 600 B St, Livingston, CA 95334 Phone: 833-850-3500 | |
Philip Merrill Sampson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1140 Main St, Livingston, CA 95334 Phone: 209-394-7913 Fax: 209-394-9093 | |
Jesus J Corral, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1140 Main St, Livingston, CA 95334 Phone: 209-394-7913 Fax: 209-394-3660 | |
Herjot Kaur Thiara, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2747 Claret Cir, Livingston, CA 95334 Phone: 209-648-9887 | |
Myriam E Castaneda, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1140 Main St, Livingston, CA 95334 Phone: 209-394-7913 Fax: 209-394-3660 |