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Individual

AMY IRENE LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN, CCNS, CCRNK

Contact information

Practice address
1906 BELLEVIEW AVE SE OFC, 8W CNS OFFICE, ROANOKE, VA 24014-1838
(540) 224-2515
Mailing address
1906 BELLEVIEW AVE SE OFC, 8W CNS OFFICE, ROANOKE, VA 24014-1838
(540) 224-2515

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001159157
VA
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
Primary
0024181908
VA
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
015000969
VA

Other

Enumeration date
03/20/2019
Last updated
03/11/2022
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