Organization
ON THE GO NP IN ADULT HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE LUCAS DNP, NP-C (NURSE PRACTITIONER/ CEO)
(718) 413-8168
Entity
Organization
Contact information
Practice address
130 S FORDHAM RD, HICKSVILLE, NY 11801-6000
(516) 522-5500
Mailing address
442 S OYSTER BAY RD # 1020, HICKSVILLE, NY 11801-3515
(718) 413-8168
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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