Individual
HEATHER LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12 BRUNSWICK ST, BYHALIA, MS 38611-7000
(662) 838-2163
Mailing address
230-3 GOODMAN ROAD EAST, SUITE 200, SOUTHAVEN, MS 38671-9604
(870) 394-6591
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
TN
363L00000X
Nurse Practitioner
Primary
27404
TN
Other
Enumeration date
08/09/2018
Last updated
02/12/2024
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