Individual
MS. LISA LYNN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1060 JEFFERSON AVE, MEMPHIS, TN 38104-9411
(901) 544-1060
Mailing address
756 SILVER SANDS DR, CORDOVA, TN 38018-3583
(901) 624-0825
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000137590
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
CO2698
AR
Other
Enumeration date
11/18/2007
Last updated
05/30/2008
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