Individual
MRS. JULIE MERRELL LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
105 EASY ST, MOORESVILLE, NC 28117-4351
(843) 810-8063
Mailing address
105 EASY ST, MOORESVILLE, NC 28117-4351
(843) 810-8063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
249504
NC
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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