Individual
MS. SAMANTHA ANN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMH-NP
Contact information
Practice address
9 PINNACLE DR, FISHERSVILLE, VA 22939-2366
(540) 688-2646
Mailing address
PO BOX 1138, FISHERSVILLE, VA 22939-1138
(540) 688-2646
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024172852
VA
Other
Enumeration date
09/16/2015
Last updated
09/21/2015
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