Individual
BROOKE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
Mailing address
PO BOX 276, SHADY SPRING, WV 25918-0276
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
116863
WV
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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