Individual
MARY ANN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2010 OLD WEST CHESTER PIKE, SUITE 330, HAVERTOWN, PA 19083
(610) 789-8070
(610) 789-9937
Mailing address
2010 OLD WEST CHESTER PIKE, SUITE 330, HAVERTOWN, PA 19083
(610) 789-8070
(610) 789-9937
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN271585L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN271585L
STATE NURSING LICENSE
PA
Enumeration date
01/20/2006
Last updated
09/23/2008
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