Individual
MS. HEIDI SIEGLINDE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
103 MEDICINE WAY ROAD, PERIDOT, AZ 85542
(928) 475-1468
Mailing address
103 MEDICINE WAY, PERIDOT, AZ 85542
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
AZ123642
AZ
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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