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Individual

MAXINE LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
9601 BAPTIST HEALTH DR, SUITE 690, LITTLE ROCK, AR 72205-6328
(501) 227-8422
(501) 537-2399
Mailing address
9601 BAPTIST HEALTH DR, SUITE 690, LITTLE ROCK, AR 72205-6328
(501) 227-8422
(501) 537-2399

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004362
AR
363LF0000X
Family Nurse Practitioner
RN164370
AZ

Other

Enumeration date
01/16/2014
Last updated
09/21/2015
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