Individual
ASHLEY VALLE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
21 W 25TH ST, BALTIMORE, MD 21218-5003
(410) 366-1717
Mailing address
375 CHISELED STONE RD, SYKESVILLE, MD 21784-8656
(443) 865-8695
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R191410
MD
363LF0000X
Family Nurse Practitioner
Primary
R191410
MD
Other
Enumeration date
02/01/2021
Last updated
03/01/2021
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