Individual
CATHERINE MELVENA LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32303 N 15TH LN, PHOENIX, AZ 85085-9006
(623) 434-0583
(623) 434-0583
Mailing address
32303 N 15TH LN, PHOENIX, AZ 85085-9006
(623) 434-0583
(623) 434-0583
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1894
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0776
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1225
—
SC
Enumeration date
03/09/2006
Last updated
06/17/2015
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