Individual
LUCAS CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1007 S WILLIAM ST STE 5, ATLANTA, TX 75551-3245
(903) 796-1278
Mailing address
403 PETER ALAN, NASH, TX 75569-3046
(903) 908-5108
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
866100
TX
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
866100
TX
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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