Individual
LATOYA DAVIS LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2211 W MEADOWVIEW RD STE 107, GREENSBORO, NC 27407-3408
(336) 543-0480
(336) 313-2417
Mailing address
2211 W MEADOWVIEW RD # 1, GREENSBORO, NC 27407-3409
(336) 543-0480
(336) 313-2417
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5004800
NC
Other
Enumeration date
08/09/2010
Last updated
04/20/2023
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