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1023703063
MADISON LUCAS
COSTA MESA, CA
NPI
1023703063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95024630)
Enumeration Date
2023-04-06
Last Update Date
2023-04-06
Business Address
MADISON LUCAS
150 PAULARINO AVE STE D182
COSTA MESA, CA 92626-3302
Phone number: 866-300-7227
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Mailing Address
MADISON LUCAS
15238 MCCANN PL
LA MIRADA, CA 90638-1446
Phone number: 714-980-2998
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