Individual
FREDA LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6390 E 31ST ST, SUITE I, TULSA, OK 74135-5478
(918) 409-9763
Mailing address
6390 E 31ST ST, SUITE I, TULSA, OK 74135-5478
(918) 409-9763
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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