Mondale Lucas

NPI #1265105662 in Selden, New York

Provider Information

NPI Number
1265105662
Entity Type
Individual
Name
Mondale Lucas
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse - Home Health
Enumeration Date
Jul 30, 2021
Last Updated
Jul 30, 2021

Practice Location

Address
111 COLLEGE RD APT 9P
City
Selden
ZIP Code
11784-2836
Phone
(631) 764-3716

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Home HealthHome Health

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Organizations

Provider Name
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