Individual
ASHLEY LAURA LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
5879 CROOKED CREEK DR, OOLTEWAH, TN 37363-6571
(423) 619-3622
Mailing address
5879 CROOKED CREEK DR, OOLTEWAH, TN 37363-6571
(423) 619-3622
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN0000163787
TN
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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