Kelly Lucas

NPI #1861986762 in Shawnee, Oklahoma

Provider Information

NPI Number
1861986762
Entity Type
Individual
Name
Kelly Lucas
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jun 15, 2018
Last Updated
Feb 22, 2019

Practice Location

Address
3700 N KICKAPOO AVE STE 124
ZIP Code
74804-0007
Phone
(405) 273-6383

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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