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General NPI Number Information
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NPI Number | 1447368691
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Entity Type | Individual
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Provider Name | SUZANNE LUCAS RNCS
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Gender | Female
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 03/23/2021
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Provider Practice Location Address
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Address Line | 233 AYER RD SHAKER PLACE SUITE 2
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City | HARVARD
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State | MA
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Zip | 01451-1131
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Country | US
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Telephone | 978-772-2670
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Fax |
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Provider Business Mailing Address
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Address Line | 153 SCOTT RD
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City | FITCHBURG
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State | MA
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Zip | 01420-1912
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 173379
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 173379
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License Number State | MA
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