SHANNON DEAN LUCAS

BEAUMONT, TX
NPI1790756898
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: TX  629586)
Enumeration Date2006-01-28
Last Update Date2007-07-31
Business Address
SHANNON DEAN LUCAS FNP
3345 PLAZA 10 DR SUITE E
BEAUMONT, TX 77707-2554
Phone number: 409-838-2626
Mailing Address
SHANNON DEAN LUCAS FNP
3619 11TH ST
BEAUMONT, TX 77705-9233
Phone number: 409-749-0377