MEDICARE: LUCY D WALKER FNP-C

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	363LF0000X	Family Nurse Practitioner	200952	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588604409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCY D WALKER FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 3300
Second Line	:
City	:	LENOIR
State	:	NC
Zip	:	28645-3300
Country	:	US
Telephone Number	:	828-757-6521
Fax Number	:	828-757-7882

Provider Business Practice Location Address
First Line	:	4355 HICKORY BLVD
Second Line	:
City	:	GRANITE FALLS
State	:	NC
Zip	:	28630-1992
Country	:	US
Telephone Number	:	828-396-7550
Fax Number	:	828-396-7535

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	07/08/2007

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