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Individual

TIFFANY DAWN LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, AGPCNP-BC

Contact information

Practice address
600 S TIMBERLANE DR, EL DORADO, AR 71730-6990
(870) 862-2400
(870) 864-8142
Mailing address
600 S TIMBERLANE DR, EL DORADO, AR 71730-6990
(870) 862-2400
(870) 864-8142

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
A004783
AR
363LG0600X
Gerontology Nurse Practitioner
Primary
A004783
AR

Other

Enumeration date
06/21/2016
Last updated
01/12/2026
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