Individual
ANN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
229 N POTOMAC ST, HAGERSTOWN, MD 21740-3812
(301) 733-5858
(866) 635-7206
Mailing address
229 N POTOMAC ST, HAGERSTOWN, MD 21740-3812
(301) 733-5858
(866) 635-7206
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R114858
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405909300
—
MD
01
—
544865-03
BC/BS
MD
01
—
PVPB10075730
APS PROVIDER ID
MD
Enumeration date
07/26/2006
Last updated
02/24/2012
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