Individual
SHAY NICOLETTE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
1817 JESSUP DR, FORT COLLINS, CO 80525-2550
(866) 218-5769
Mailing address
1817 JESSUP DR, FORT COLLINS, CO 80525-2550
(866) 218-5769
(866) 218-5769
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MWR.0000207
CO
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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