Provider Demographics
NPI:1609637776
Name:HARP, LUCAS WILLIAM
Entity type:Individual
Prefix:
First Name:LUCAS
Middle Name:WILLIAM
Last Name:HARP
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 CHARIOT WAY
Mailing Address - Street 2:
Mailing Address - City:PEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:71964-9479
Mailing Address - Country:US
Mailing Address - Phone:501-760-8471
Mailing Address - Fax:
Practice Address - Street 1:195 CHARIOT WAY
Practice Address - Street 2:
Practice Address - City:PEARCY
Practice Address - State:AR
Practice Address - Zip Code:71964-9479
Practice Address - Country:US
Practice Address - Phone:501-760-8471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care