Provider Demographics
NPI:1023650074
Name:LUCAS, ARKELL (CNM)
Entity type:Individual
Prefix:
First Name:ARKELL
Middle Name:
Last Name:LUCAS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2638 E CEDARVILLE RD
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19465-8123
Mailing Address - Country:US
Mailing Address - Phone:484-686-3679
Mailing Address - Fax:
Practice Address - Street 1:1011 W BALTIMORE PIKE STE 208
Practice Address - Street 2:
Practice Address - City:WEST GROVE
Practice Address - State:PA
Practice Address - Zip Code:19390-9402
Practice Address - Country:US
Practice Address - Phone:610-869-7888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-10
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW010554367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife