MEDICARE: MERIDEE LUCAS

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1790597763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERIDEE LUCAS

Provider Business Mailing Address
First Line	:	1115 VICTORIA DR
Second Line	:
City	:	PLATTSMOUTH
State	:	NE
Zip	:	68048-3113
Country	:	US
Telephone Number	:	402-297-9620
Fax Number	:

Provider Business Practice Location Address
First Line	:	1115 VICTORIA DR
Second Line	:
City	:	PLATTSMOUTH
State	:	NE
Zip	:	68048-3113
Country	:	US
Telephone Number	:	402-297-9620
Fax Number	:

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

Provider Enumeration Date	:	01/24/2025
Last Update Date	:	01/24/2025

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Directions to “ MERIDEE LUCAS ” Practice Location

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