Individual
DR. LUCUS TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-C
Contact information
Practice address
208 DUTCHMAN CREEK RD, ELKIN, NC 28621-3015
(336) 648-3021
Mailing address
208 DUTCHMAN CREEK RD, ELKIN, NC 28621-3015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
232757
NC
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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