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Organization

LUCAS EXCEPTIONAL HEALTHCARE AND CONSULTATION PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LATOYA LUCAS APRN (CEO)
(336) 543-0480
Entity
Organization

Contact information

Practice address
2211 W MEADOWVIEW RD STE 107, GREENSBORO, NC 27407-3408
(336) 543-0480
(336) 313-2417
Mailing address
2211 W MEADOWVIEW RD STE 107, GREENSBORO, NC 27407-3408
(336) 543-0480
(336) 313-2417

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
363LA2200X
Adult Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1447927595
NC
01
5004800
MEDICAL LICENSE
NC
Enumeration date
08/26/2021
Last updated
10/05/2023
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