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Individual

MRS. LYNETTE BETH LUCAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3928 S NOVA RD, PORT ORANGE, FL 32127-4911
(386) 882-9941
(386) 788-4519
Mailing address
3928 S NOVA RD, PORT ORANGE, FL 32127-4911
(386) 882-9941
(386) 788-4519

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5202836
FL

Other

Enumeration date
03/26/2026
Last updated
03/26/2026
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