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Individual

LUCINDA HARWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1611 DAVIS RD, LIPAN, TX 76462-4300
(254) 646-2687
Mailing address
1611 DAVIS RD, LIPAN, TX 76462-4300

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
167169
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
167169
NURSE LICENSING BOARD
TX
Enumeration date
02/17/2018
Last updated
02/17/2018
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