Mr. Lucas Alan Gravelyn

CRNA | Nurse Anesthetist

6435 W Jefferson Blvd # 434, Fort Wayne
  Indiana, 46804-6203
260-436-7875
May or may not accept Medicare Nurse Anesthetist in Fort Wayne, Indiana.
Mr. Lucas Alan Gravelyn is a Fort Wayne, Indiana based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Mr. Lucas Alan Gravelyn is 28270719A for Anesthesia Administration in Indiana. his current practice location is 6435 W Jefferson Blvd # 434, Fort Wayne. Patients can reach him at 260-436-7875 or can fax him at 260-432-9812. Mr. Lucas Alan Gravelyn is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1528337375.
Mr. Lucas Alan Gravelyn is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.

Complete Profile:
Mr. Lucas Alan Gravelyn speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Anesthesia Administration
Credentials: CRNA
Gender:Male
Practice Address:6435 W Jefferson Blvd # 434, Fort Wayne,
Indiana, 46804-6203
Phone:260-436-7875
Fax:260-432-9812
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1528337375
NPI Enumeration Date: 23 Dec, 2011
NPI Last Update On: 03 Nov, 2025

Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Lucas Alan Gravelyn are as mentioned below.
License NumberSpecializationStateStatus
28270719AAnesthesia Administration IndianaPrimary
4704255424Anesthesia Administration MichiganSecondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Po Box 843603,
Dallas, Texas
Zip: 75284-0001
Phone Number: 972-233-1999
Fax Number: 972-233-3666
Patients can reach Mr. Lucas Alan Gravelyn at 6435 W Jefferson Blvd # 434, Fort Wayne, Indiana or can call to book an appointment on 260-436-7875.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.