Individual
LISA LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2250 HICKORY ROAD, SUITE 240, PLYMOUTH MEETING, PA 19462
(610) 834-1122
Mailing address
108 HOMESVILLE ROAD, ASHLAND, PA 17921
(570) 276-1019
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9916547
PA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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