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Individual

BRIDGET M LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C-PNP

Contact information

Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 829-5485

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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