Individual
LISA L LUCIOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7768 BIRDWOOD, MEMPHIS, TN 38125
(901) 634-8514
Mailing address
7768 BIRDWOOD, DR, MEMPHIS, TN 38125
(901) 634-8514
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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