LUCAS ALLEN FUSSELL

ONLEY, VA
NPI1619226438
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0024170248)
Enumeration Date2012-09-07
Last Update Date2014-04-14
Business Address
-- LUCAS ALLEN FUSSELL NP
20306 BADGER LANE
ONLEY, VA 23418-0159
Phone number: 757-787-7374
Mailing Address
-- LUCAS ALLEN FUSSELL NP
20306 BADGER LANE
ONLEY, VA 23418-0159
Phone number: 757-787-7374
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