Individual
ROBERTA ANN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
835 E 4800 S, MURRAY, UT 84107-5040
(801) 622-5418
Mailing address
8144 S OAK CREEK DR, SANDY, UT 84093-6515
(801) 891-3680
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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