Individual
DR. LAUREN GREENE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8900 WEST BROAD STREET, SUITE C, RICHMOND, VA 23294-5815
(804) 270-6030
(804) 270-4150
Mailing address
8900 WEST BROAD STREET, SUITE C, RICHMOND, VA 23294-5815
(804) 270-6030
(804) 270-4150
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001866
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0618001866
VA OPTOMETRY LICENSE
VA
Enumeration date
08/09/2009
Last updated
12/22/2015
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