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Individual

MRS. NANCY S LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
5049 EDWARDS RANCH RD, FORT WORTH, TX 76109-4213
(817) 645-0001
Mailing address
11797 SOUTH FWY STE 132, BURLESON, TX 76028-7035
(817) 551-0466

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
51496
TX
231HA2400X
Assistive Technology Practitioner Audiologist
51496
TX
231HA2500X
Assistive Technology Supplier Audiologist
51496

Other

Enumeration date
08/09/2006
Last updated
12/07/2023
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