Individual
MISS BECKY RENEE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5737 RIDGE RD, WILLIAMSON, NY 14589-9717
(315) 218-0078
Mailing address
5737 RIDGE ROAD, WILLIAMSON, NY 14589, NY 14589
(315) 218-0078
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
292772 1
NY
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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