Jeannie A Lucas in Saint Louis - Family

Jeannie A Lucas - NPI 1033121645

Jeannie A Lucas is a Family in Saint Louis, Missouri. Jeannie A Lucas practices all healthcare services and medical treatments related to Family. The NPI Number for Jeannie A Lucas is 1033121645. The last update date is 2012-03-05.

Jeannie A Lucas's current location address is 670 Mason Ridge Center Dr, Saint Louis, Missouri. You can contact this provider via phone number 5738157119 and fax number 5738157116. The mailing address for Jeannie A Lucas is 670 Mason Ridge Center Dr, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeannie A Lucas
Address 670 Mason Ridge Center Dr, Saint Louis, Missouri
Phone Number 5738157119
Fax Number 5738157116
Sole Proprietor N
Credentials MSN FNP

NPI Number Detail

NPI Number 1033121645
Provider Enumeration Date 2006-08-12
Last Updated Date 2012-03-05

Provider Mailing Address Detail

Address 670 Mason Ridge Center Dr
City Saint Louis
State Missouri (MO)
Post Code 631418573
Phone Number 5738157119
Fax Number 5738157116

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 95253
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Jeannie A Lucas

What is the Jeannie A Lucas's unique identification number?

The Jeannie A Lucas has been assigned the NPI (National Provider Identifier) Number 1033121645 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Jeannie A Lucas is geographically located?

The Jeannie A Lucas is physically situated at the following location: 670 Mason Ridge Center Dr, Saint Louis, MO, 631418573.

What is Jeannie A Lucas's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jeannie A Lucas is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1033121645 to Jeannie A Lucas?

The Centers for Medicare & Medicaid Services assigned the 1033121645 to Jeannie A Lucas on 2006-08-12.

When was the information pertaining to Jeannie A Lucas most recently updated or revised?

The details related to Jeannie A Lucas, including its address, specialty, and other relevant information, were last updated or revised on 2012-03-05.

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