Individual
MRS. DENISE DEMARIA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
9 CAMPBELL ST, AVELLA, PA 15312
(724) 587-3472
Mailing address
187 KINGS CREEK RD, WEIRTON, WV 26062-6272
(304) 797-7254
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP008787
PA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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