Individual
MS. MELANIE A LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
1642 63RD ST, BROOKLYN, NY 11204-2713
(718) 234-5700
Mailing address
400 ARGYLE RD, LH5 APARTMENT, BROOKLYN, NY 11218-5459
(646) 353-9998
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
0152671
NY
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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