Organization
LUCROR HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEREDITH BERRYMAN (CFO)
(678) 642-3843
Entity
Organization
Contact information
Practice address
218 GRANITE FALLS DR, SUNNYVALE, TX 75182-6208
(678) 642-3843
Mailing address
218 GRANITE FALLS DR, SUNNYVALE, TX 75182-6208
(678) 642-3843
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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