Individual
MS. ANGELA JUNE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1300 SW SAINT LUCIE WEST BLVD, MINUTECLINIC, PORT ST LUCIE, FL 34986-2109
(772) 878-7078
Mailing address
6403 SE 55TH ST, TRENTON, FL 32693-3024
(828) 490-0819
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024172200
VA
363LF0000X
Family Nurse Practitioner
5007419
NC
363LF0000X
Family Nurse Practitioner
Primary
ARNP 9196062
FL
Other
Enumeration date
01/07/2015
Last updated
04/20/2021
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