Crystal V Lucas

NPI #1558904250 in Ellenwood, Georgia

Provider Information

NPI Number
1558904250
Entity Type
Individual
Name
Crystal V Lucas
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Oct 25, 2019
Last Updated
Oct 25, 2019

Practice Location

Address
161 KINGSWOOD DR
State
Georgia
ZIP Code
30294-3159
Phone
(404) 989-7642

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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