Individual
MRS. CARLA DENISE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1313 PENN AVE N, MINNEAPOLIS, MN 55411-3047
(612) 543-2500
(612) 302-4870
Mailing address
1313 PENN AVE N, MINNEAPOLIS, MN 55411-3047
(612) 543-2500
(612) 302-4870
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R1223200
MN
Other
Enumeration date
04/19/2006
Last updated
02/26/2013
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