Organization
LUCY LN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW SCOTT STRANGE (PRESIDENT/OWNER)
(210) 379-8804
Entity
Organization
Contact information
Practice address
210 ROYAL OAKS DR, SAN ANTONIO, TX 78209-2304
(210) 379-8804
Mailing address
210 ROYAL OAKS DR, SAN ANTONIO, TX 78209-2304
(210) 379-8804
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
11/22/2023
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