Individual
MRS. AUTUMN ANDERSON LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 UNIVERSITY PARKWAY, MACON, GA 31206
(478) 471-2092
Mailing address
172 HINES TER, MACON, GA 31204-2818
(478) 955-4899
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN190806
GA
Other
Enumeration date
11/05/2015
Last updated
11/30/2015
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