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1982203733
TIFFANY LUCAS
GREENSBORO, NC
NPI
1982203733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5013713)
Enumeration Date
2020-10-22
Last Update Date
2020-12-08
Business Address
TIFFANY LUCAS FNP
1100 E WENDOVER AVE
GREENSBORO, NC 27405-6713
Phone number: 336-641-6713
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Mailing Address
TIFFANY LUCAS FNP
1100 E WENDOVER AVE
GREENSBORO, NC 27405-6713
Phone number: 336-641-6713
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