Individual
LIZZEL LORRAINE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2831 N 45TH ST, MILWAUKEE, WI 53210-1714
(414) 813-2943
Mailing address
2831 N 45TH ST, MILWAUKEE, WI 53210-1714
(414) 813-2943
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
116739-30
WI
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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