Individual
JENNIFER LAURIE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11905 PORT RD, FRISCO, TX 75035-6357
(972) 333-4538
Mailing address
11905 PORT RD, FRISCO, TX 75035-6357
(972) 333-4538
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
1008755
TX
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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