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Individual
MR. LUCUS WILLIAM ENSLIN
Active
Individual
MR. LUCUS WILLIAM ENSLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN61260852
WA
363L00000X
Nurse Practitioner
Primary
AP61260884
WA
363L00000X
Nurse Practitioner
CNP01712
NM
363LF0000X
Family Nurse Practitioner
CNP-01712
NM
363LP2300X
Primary Care Nurse Practitioner
AP61260884
WA
Other
Enumeration date
12/17/2010
Last updated
12/14/2022
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