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Individual

MRS. KATHERINE LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, RNC, NNP

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
170924
NC
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
17709A
SC

Other

Enumeration date
10/15/2008
Last updated
02/10/2012
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