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Individual

SHAWNA LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
118 1/2 N WOODLAND BLVD, SUITE 2, DELAND, FL 32720-4268
(386) 734-6355
(386) 734-6377
Mailing address
118 1/2 N WOODLAND BLVD, SUITE 2, DELAND, FL 32720-4268
(386) 734-6355
(386) 734-6377

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
11/01/2013
Last updated
11/01/2013
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