Individual
LUCAS MICHAEL MCCORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1007 GOODYEAR AVE, GADSDEN, AL 35903-1195
(256) 494-4000
Mailing address
410 JUANITA ST, GLENCOE, AL 35905-1522
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
119186
AL
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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