Individual
MARLIE E LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1810 MESQUITE AVE STE B, LAKE HAVASU CITY, AZ 86403-5886
(804) 554-9814
(480) 776-0025
Mailing address
2002 N STOCKTON HILL RD, STE 104, KINGMAN, AZ 86401-4698
(804) 554-9814
(807) 760-0254
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP3230
AZ
363LF0000X
Family Nurse Practitioner
ARNP1107982
FL
Other
Enumeration date
03/30/2007
Last updated
02/07/2020
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