Individual
ERICA M LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 8TH AVE STE 200, FORT WORTH, TX 76104-2619
(817) 336-7275
Mailing address
122 W JOHN CARPENTER FWY STE 420, IRVING, TX 75039-2014
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP138285
TX
363LP0200X
Pediatric Nurse Practitioner
TEMP
TX
Other
Enumeration date
07/13/2018
Last updated
01/25/2021
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