Individual
BRIDGET M LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-PNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APN.0990186-NP
CO
363LP0200X
Pediatric Nurse Practitioner
Primary
10409
WI
363LP0200X
Pediatric Nurse Practitioner
990186
CO
Other
Enumeration date
11/03/2011
Last updated
01/08/2021
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