Individual
IONA LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 PREIS LN APT 2, GODFREY, IL 62035-4110
(618) 917-1227
Mailing address
1212 PREIS LN APT 2, GODFREY, IL 62035-4110
(618) 917-1227
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
05/28/2020
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