JEANNIE A LUCAS

COLUMBIA, MO
NPI1033121645
Former NameJEANNIE A RODERICK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  095253)
Enumeration Date2006-08-12
Last Update Date2012-03-05
Business Address
-- JEANNIE A LUCAS MSN FNP
1605 E BROADWAY SUITE 302
COLUMBIA, MO 65201-8023
Phone number: 573-815-7119
Mailing Address
-- JEANNIE A LUCAS MSN FNP
670 MASON RIDGE CENTER DR SUITE 300
SAINT LOUIS, MO 63141-8573
Phone number: 573-815-7119
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