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WILLIAM GENE LUCAS

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1730671140

Individual Registrant:
 WILLIAM GENE LUCAS 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
7640 W MAVERICK RD  SAHUARITA, AZ 85629-6781 US
Tel: 520-955-1029  Fax: --

Contact information for business:
PO BOX 895  SAHUARITA, AZ 85629-0895 US
Tel: 520-955-1029  Fax: --

Registration Information:
NPI: 1730671140
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AZAP11323

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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