Individual
AVERY LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1415 N LA TIJERA BLVD, INGLEWOOD, CA 90302-1548
(310) 680-5260
Mailing address
8956 KRAMERWOOD PL, LOS ANGELES, CA 90034-3108
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95382780
CA
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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