Individual
TRACEY LYNN LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
955 VALLEY AVE, LEXINGTON, KY 40508-2441
(859) 338-4571
Mailing address
955 VALLEY AVE, LEXINGTON, KY 40508-2441
(859) 338-4571
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
8744447530
KY
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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