Ethan D Lucas
Ethan D Lucas is a Peer Specialist in Malden, Missouri. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
500 Barrett ThriveMalden, MO 63863
Phone: (573) 888-5925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1992506554 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 20, 2025 |
| Last updated in NPPES | March 20, 2025 |
| Certification date | March 18, 2025 |
| Mailing address | 500 Barrett Thrive, Malden, MO 63863 |