Individual
LAURETTA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3647 ABERNATHY DR, FAYETTEVILLE, NC 28311-7659
(910) 476-8688
Mailing address
3647 ABERNATHY DR, FAYETTEVILLE, NC 28311-7659
(910) 476-8688
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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