Provider Demographics
NPI:1447372073
Name:LUCAS, BARBARA CAROL (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:CAROL
Last Name:LUCAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BARBIE
Other - Middle Name:CAROL
Other - Last Name:LUCAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:855 MANHATTAN BEACH BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-4965
Mailing Address - Country:US
Mailing Address - Phone:310-030-7850
Mailing Address - Fax:310-939-7851
Practice Address - Street 1:855 MANHATTAN BEACH BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-4965
Practice Address - Country:US
Practice Address - Phone:310-030-7850
Practice Address - Fax:310-939-7851
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA051680208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics