Organization
DOH LEON COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LONOGAN LUCAS R,N., B.S.N. (REGISTERED NURSE)
(850) 487-3186
Entity
Organization
Contact information
Practice address
3832 WINDERMERE RD, TALLAHASSEE, FL 32311-9491
(850) 877-7327
(850) 487-3954
Mailing address
3832 WINDERMERE ROAD, TALLAHASSEE, FL 32311
(850) 877-7327
(850) 487-3954
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
RN9035099
FL
Other
Enumeration date
03/14/2006
Last updated
07/21/2022
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