Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mondale Lucas

Individual provider Home Health Registered Nurse · NPI 1265105662

Mondale Lucas is a Home Health Registered Nurse in Selden, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

111 College Rd Apt 9P
Selden, NY 11784-2836
Phone: (631) 764-3716
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Registered Nurse (primary) Taxonomy 163WH0200X · Licence 819750 (NY)

Record details

NPI number1265105662
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 30, 2021
Last updated in NPPESJuly 30, 2021
Certification dateJuly 30, 2021
Mailing address111 College Rd Apt 9p, Selden, NY 11784-2836

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