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1790756898
SHANNON DEAN LUCAS
BEAUMONT, TX
NPI
1790756898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 629586)
Enumeration Date
2006-01-28
Last Update Date
2007-07-31
Business Address
-- SHANNON DEAN LUCAS FNP
3345 PLAZA 10 DR SUITE E
BEAUMONT, TX 77707-2554
Phone number: 409-838-2626
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Mailing Address
-- SHANNON DEAN LUCAS FNP
3619 11TH ST
BEAUMONT, TX 77705-9233
Phone number: 409-749-0377
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