Individual
DAVID HENRY LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
16535 TRANQUILITY CT SE APT 303, PRIOR LAKE, MN 55372-4459
(952) 847-0821
Mailing address
16535 TRANQUILITY CT SE APT 303, PRIOR LAKE, MN 55372-4459
(952) 847-0821
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L72333-2
MN
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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