Individual
CRYSTAL KAY LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
335 W PERSHING ST APT A, SALEM, OH 44460-2749
(330) 831-9118
Mailing address
8262 DEPOT RD, LISBON, OH 44432-9424
(330) 831-9118
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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