Marlie E Lucas

NPI #1437612355 in Kingman, Arizona

Provider Information

NPI Number
1437612355
Entity Type
Organization
Organization Name
Marlie E Lucas
Primary Specialty
Clinic/Center
Enumeration Date
Apr 8, 2019
Last Updated
Aug 14, 2019

Practice Location

Address
1751 N STOCKTON HILL RD STE B
State
Arizona
ZIP Code
86401-6601
Phone
(928) 715-9258

Authorized Official

Name
MS. MARLIE ELAINE LUCAS, FNP-BC
Title
FNP, OWNER
Phone
(928) 715-9258

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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