Individual
ZACHARY LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, NRP
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
231630
PA
163WC0200X
Critical Care Medicine Registered Nurse
Primary
R056585
SD
163WE0003X
Emergency Registered Nurse
R056585
SD
163WF0300X
Flight Registered Nurse
R056585
SD
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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