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1730687591
TRANISHA LYNETTE LUCAS
CHICAGO, IL
NPI
1730687591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209017167)
Enumeration Date
2018-01-26
Last Update Date
2018-01-26
Business Address
TRANISHA LYNETTE LUCAS FNP-BC
45 W 111TH ST
CHICAGO, IL 60628-4200
Phone number: 773-995-3070
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Mailing Address
TRANISHA LYNETTE LUCAS FNP-BC
21150 WHITNEY DR
MATTESON, IL 60443-3045
Phone number: 708-513-0677
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