Individual
BETHANY LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2011 CHAPA ST, COLUMBUS, IN 47203-4638
(317) 502-4321
Mailing address
9645 S 100 W, COLUMBUS, IN 47201-4539
Taxonomy
Speciality
Code
Description
License number
State
364SL0600X
Long-Term Care Clinical Nurse Specialist
Primary
28212712A
IN
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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