Individual
LUCAS FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 LIBERTY ST, WHITEVILLE, NC 28472-3714
(910) 207-6088
Mailing address
7002 LEBANON CHURCH RD, CLARENDON, NC 28432-9203
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5021702
NC
Other
Enumeration date
02/26/2025
Last updated
03/17/2025
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