Individual
LATRENA LYNN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1410 COTTAGE ST, BROWNWOOD, TX 76801-3506
(325) 203-8044
Mailing address
1410 COTTAGE ST, BROWNWOOD, TX 76801-3506
(325) 203-8044
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
315645
TX
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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