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Individual

NICOLE ANNA LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS-FNP

Contact information

Practice address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 762-4325
(541) 762-0740
Mailing address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 762-4325
(541) 762-0740

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201907459NP-PP
OR
363LF0000X
Family Nurse Practitioner
4704293466
MI
363LF0000X
Family Nurse Practitioner
AP61267458
WA

Other

Enumeration date
02/17/2019
Last updated
08/12/2024
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