Individual
DIANE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
3848 HARRISON BLVD, OGDEN, UT 84408-4073
(801) 626-6000
Mailing address
3848 HARRISON BLVD, OGDEN, UT 84408-0001
(801) 626-6000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10495026-3102
UT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
10495026-3102
UT
Other
Enumeration date
07/31/2024
Last updated
08/28/2024
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