Individual
MRS. BRENDA KAY LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3721 AUTUMN DR, ROANOKE, VA 24012-6457
(540) 977-5368
Mailing address
3721 AUTUMN DR, ROANOKE, VA 24012-6457
(540) 977-5368
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
802750
VA
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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