Individual
MRS. TONYA MISCHELL LUCAS
Active
Individual
MRS. TONYA MISCHELL LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1184850
TX
363LP0200X
Pediatric Nurse Practitioner
2021015302
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811661861
STATE LICENSE
TX
01
—
2021015302
STATE LICENSE
MO
Enumeration date
08/03/2021
Last updated
08/04/2026
Update your record
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