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Individual

JEANNIE A LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN FNP

Contact information

Practice address
1605 E BROADWAY, SUITE 302, COLUMBIA, MO 65201-8023
(573) 815-7119
(573) 815-7116
Mailing address
670 MASON RIDGE CENTER DR, SUITE 300, SAINT LOUIS, MO 63141-8573
(573) 815-7119
(573) 815-7116

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
095253
MO

Other

Enumeration date
08/12/2006
Last updated
03/05/2012
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