KELLY LUCAS

SHAWNEE, OK
NPI1861986762
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  92148)
Enumeration Date2018-06-15
Last Update Date2019-02-22
Business Address
KELLY LUCAS
3700 N KICKAPOO AVE STE 124
SHAWNEE, OK 74804-0007
Phone number: 405-273-6383
Mailing Address
KELLY LUCAS
3700 N KICKAPOO AVE STE 124
SHAWNEE, OK 74804-0007
Phone number: 405-273-6383
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