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Individual

MS. DEBRA ANN LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
106 4TH AVE N, FERGUS FALLS, MN 56537-1034
(218) 998-3778
(218) 998-5187
Mailing address
3806 VILLAGE GROVE DR, MOORHEAD, MN 56560
(218) 343-6164

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L-64013-0
MN

Other

Enumeration date
10/06/2009
Last updated
10/06/2009
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