Organization
MARLIE E LUCAS
Active
Other names
Lucas Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLIE ELAINE LUCAS FNP-BC (FNP, OWNER)
(928) 715-9258
Entity
Organization
Contact information
Practice address
1751 N STOCKTON HILL RD STE B, KINGMAN, AZ 86401-6601
(928) 715-9258
Mailing address
1751 N STOCKTON HILL RD STE B, KINGMAN, AZ 86401-6601
(928) 715-9258
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
08/14/2019
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