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NPI Code Detail

MEDICARE: SUZANNE LUCAS RNCS

MEDICARE: SUZANNE LUCAS RNCS
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
1364S00000XClinical Nurse Specialist173379MA
2364SP0809XAdult Psychiatric/Mental Health Clinical Nurse Specialist173379MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1364051OTHERMAMAGELLAN
2456267OTHERMATUFTS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4PN0796OTHERMABLUECROSS

General Provider Information

NPI Number : 1447368691
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE LUCAS RNCS
Provider Business Mailing Address
First Line : 153 SCOTT RD
Second Line :
City : FITCHBURG
State : MA
Zip : 01420-1912
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 233 AYER RD
Second Line : SHAKER PLACE SUITE 2
City : HARVARD
State : MA
Zip : 01451-1131
Country : US
Telephone Number : 978-772-2670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2006
Last Update Date : 03/23/2021

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Directions to “ SUZANNE LUCAS RNCS” Practice Location

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