CRYSTAL LUCAS

Licensed Practical Nurse

Active Individual
NPI: 1558904250

Practice Address

161 KINGSWOOD DR
Ellenwood, GA 30294

Phone: (404) 989-7642

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes LPN063015 (GA)

Frequently Asked Questions

NPI 1558904250 is the National Provider Identifier for CRYSTAL LUCAS, a Licensed Practical Nurse provider located in Ellenwood, GA. This NPI was enumerated on October 25, 2019.
CRYSTAL LUCAS practices at 161 KINGSWOOD DR, Ellenwood, GA 30294.

Quick Facts

NPI
1558904250
Type
Individual
Enumerated
Oct 25, 2019
Last Updated
Oct 25, 2019

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