MEDICARE: FRANCES ELAINE LUCAS RN

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
1	163W00000X	Registered Nurse	RN097281	LA

General Provider Information

NPI Number	:	1114229887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCES ELAINE LUCAS RN

Provider Business Mailing Address
First Line	:	6008 DEERFIELD DR
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71301-2229
Country	:	US
Telephone Number	:	318-445-9135
Fax Number	:

Provider Business Practice Location Address
First Line	:	6008 DEERFIELD DR
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71301-2229
Country	:	US
Telephone Number	:	318-445-9135
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2010
Last Update Date	:	12/01/2010

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