Individual
KATHRYN ANN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
FORT DEFIANCE PHS HOSPITAL, CORNER OF RT N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8770
(928) 729-8804
Mailing address
PO BOX 2198, FORT DEFIANCE, AZ 86504-2198
(928) 729-5231
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
513
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02880580
—
NM
01
—
840620
AHCCCS
AZ
Enumeration date
11/06/2006
Last updated
07/08/2007
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