Individual
MS. VALERIE RUTH LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC WOMENS HEALTH NU
Contact information
Practice address
425 CHERRY SE, GRAND RAPIDS, MI 49305
(616) 774-7005
(616) 774-0516
Mailing address
8514 BOLT DRIVE, ADA, MI 49301
(616) 676-0345
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704114827
MI
Other
Enumeration date
10/31/2006
Last updated
02/13/2012
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