| NPI | 1366419582 |
|---|---|
| Former Name | PEGGI LUCAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 993030) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CO 1647116) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 107737) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SD CP0000558) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WY 28142.1052) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2021-03-12 |