Individual
ALYSSA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2018 WEST BLVD, CLEVELAND, OH 44102-3641
(216) 203-4890
Mailing address
2018 WEST BLVD, CLEVELAND, OH 44102-3641
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.153015-M-IV
OH
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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