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Individual

ROBERTA ANN LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
225-249-4405
UT
363LX0106X
Occupational Health Nurse Practitioner
225-249-4405
UT

Other

Enumeration date
11/28/2006
Last updated
09/17/2019
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