Individual
RYAN PAUL LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-3245
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-3245
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
154788
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
7839
NC
Other
Enumeration date
05/01/2025
Last updated
07/08/2025
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