Evan Lucas
Registered Nurse in Mount Clemens, MI. Individual provider (NPI-1).
NPI number1154059699
StatusActive
Last updated in NPPESAug 11, 2022
Details
- NPI
- 1154059699
- Entity type
- Individual (NPI-1)
- Name
- Evan Lucas
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2022
- Certification date
- Aug 11, 2022
- Last updated
- Aug 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 4704349985 | MI | Yes |
Practice location
175 N Groesbeck HwyMount Clemens, MI 48043-1562
Phone 517-442-2069
Mailing address
175 N Groesbeck HwyMount Clemens, MI 48043-1562
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All 23 Registered Nurse providers in Mount Clemens · All 1,029 providers in Mount Clemens
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