Individual
MS. CAROL LUCAS VIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1970 ROANOKE BLVD, BUILDING # 12, ROOM 241, SALEM, VA 24153-6404
(540) 855-5000
(540) 855-5012
Mailing address
1970 ROANOKE BLVD, BUILDING # 12, ROOM 241, SALEM, VA 24153-6404
(540) 855-5000
(540) 855-5012
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024094429
VA
Other
Enumeration date
05/24/2006
Last updated
07/24/2013
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