Individual
SUZANNE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNCS
Contact information
Practice address
233 AYER RD, SHAKER PLACE SUITE 2, HARVARD, MA 01451-1131
(978) 772-2670
Mailing address
153 SCOTT RD, FITCHBURG, MA 01420-1912
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
173379
MA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
173379
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1858939
—
MA
01
—
364051
MAGELLAN
MA
01
—
456267
TUFTS
MA
01
—
PN0796
BLUECROSS
MA
Enumeration date
08/28/2006
Last updated
03/23/2021
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