Individual
MS. CYNTHIA D LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNCWHNP
Contact information
Practice address
650 COLISEUM PL, MACON, GA 31217-3867
(478) 745-7935
(478) 745-7806
Mailing address
650 COLISEUM PL, MACON, GA 31217-3867
(478) 745-7935
(478) 745-7806
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
R125151
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00933754A
—
GA
Enumeration date
04/13/2006
Last updated
09/07/2011
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