MICHAEL JOHN LUCAS

TEMPLE, TX
NPI1558093914
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  1072893)
Enumeration Date2022-06-25
Last Update Date2022-08-23
Business Address
MICHAEL JOHN LUCAS CRNA
2401 S 31ST STREET TEMPLE TX 76508
TEMPLE, TX 76508-0001
Phone number: 254-724-2111
Mailing Address
MICHAEL JOHN LUCAS CRNA
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111