| NPI | 1619935731 |
|---|---|
| Former Name | TERRI L. LUCAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01032792) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01032792A) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2014-02-04 |