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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CRYSTAL V LUCAS

Active Sole Proprietor

CRYSTAL V LUCAS is a Licensed Practical Nurse healthcare provider located in ELLENWOOD, Georgia. NPI 1558904250 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · ELLENWOOD, GA

Registration Details

NPI Number
1558904250
Provider Type
Individual
Gender
Female
NPI Issued
Oct 25, 2019 (6.795902354541 yrs)
Last Updated
Oct 25, 2019
License
LPN063015 (GA)
Sole Proprietor
Yes

Practice Information

Address
161 KINGSWOOD DR
ELLENWOOD, GA, 302943159
Browse GA providers · Browse ZIP 30294
Phone
4049897642
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in ELLENWOOD, GA

Name Credential NPI
MRS. LATONYA ANN CASH LPN 1821396128
MISS DIANNE SINKFIELD 1225479462
KRISTAL CURE 1982006169
DANITA YVETTE HOWARD-FRANKLIN LPN BS MPH 1609498617
MISS LONNEKKA PRITICE WILLIAMS LPN 1982202115
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.