IndividualActive
John Lucas, CSA
NPI 1801123930 · Surgical Assistant · Stamping Ground, KY
Provider details
- NPI number
- 1801123930
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- CSA
- Sex
- Male
- Sole proprietor
- Yes
- License
- CSA3419 (KY)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1088 Graves Rd
Stamping Ground, KY 40379-9719
Phone: (214) 227-2457
Fax: (214) 764-0880
Approximate (ZIP-level) locationGet directions
Mailing address
1088 Graves Rd
Stamping Ground, KY 40379-9719
Registry dates
- Enumerated
- 2009-11-10
- Last updated
- 2019-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.