Individual
MRS. MARIE ANN LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
48 CARRIAGE LN, HUNTINGTON, WV 25705-4012
(304) 525-6944
Mailing address
48 CARRIAGE LN, HUNTINGTON, WV 25705-4012
(304) 525-6944
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26717
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067873000
—
WV
05
—
8052849
—
NC
Enumeration date
08/28/2006
Last updated
10/25/2007
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