Individual
MRS. NANCY LOUISE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, RNFA
Contact information
Practice address
2311 RIDGE FOREST DR, GRAYSON, GA 30017-1718
(678) 656-6819
Mailing address
2311 RIDGE FOREST DR, GRAYSON, GA 30017-1718
(678) 656-6819
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN056588
GA
Other
Enumeration date
03/24/2006
Last updated
08/09/2021
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