Lucas A Gravelyn
Medical Specialty
Professional ID
- NPI: 1528337375
- PECOS ID: 7517124092
- Enrollment ID: I20120210000805
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2011
Hospital Service
- Hospital CCN1: 230100
- Business Name (LBN)1: Tawas St Joseph Hospital
- Hospital CCN2: 230017
- Business Name (LBN)2: Bronson Methodist Hospital
- Hospital CCN3: 230117
- Business Name (LBN)3: Borgess Medical Center
- Hospital CCN4: 230167
- Business Name (LBN)4: Mclaren Greater Lansing
Medical Practices
- Organization Name: Nmda Anesthesia Llc
- Group Practice ID assigned by PECOS: 7113193541
- Number of Group Practice member: 35
Location
- Address1: 200 E M
- Address2: Suite 55
- City: Tawas City
- State: Michigan
- Zip Code: 48763
- Phone Number: (989)362-3411
Medical Practices
- Organization Name: Capital Area Anesthesia Pc
- Group Practice ID assigned by PECOS: 8628975968
- Number of Group Practice member: 56
Location
- Address1: 401 W Greenlawn Ave
- Address2:
- City: Lansing
- State: Michigan
- Zip Code: 48910
- Phone Number: (517)975-6000
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):