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NPI Code Detail

MEDICARE: LUCIENNE CHALAS PMHNP

MEDICARE: LUCIENNE CHALAS PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11040294FL

General Provider Information

NPI Number : 1013804475
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCIENNE CHALAS PMHNP
Provider Business Mailing Address
First Line : 6718 LAKE NONA BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32827-7982
Country : US
Telephone Number : 833-769-3524
Fax Number : 321-418-8926
Provider Business Practice Location Address
First Line : 6718 LAKE NONA BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32827-7982
Country : US
Telephone Number : 833-769-3524
Fax Number : 321-418-8926
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2025
Last Update Date : 02/03/2026

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Directions to “ LUCIENNE CHALAS PMHNP” Practice Location

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