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

SHANNON LUCAS

Active Sole Proprietor

SHANNON LUCAS is a Community Health Worker healthcare provider located in BRIDGEPORT, West Virginia. NPI 1669064101 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · BRIDGEPORT, WV

Registration Details

NPI Number
1669064101
Provider Type
Individual
Gender
Female
NPI Issued
Feb 5, 2021 (5.5685714838346 yrs)
Last Updated
Feb 5, 2021
Sole Proprietor
Yes

Practice Information

Address
192 ELKWOOD DR
BRIDGEPORT, WV, 263306741
Browse WV providers · Browse ZIP 26330
Phone
3046235997
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in BRIDGEPORT, WV

Name Credential NPI
DWAYNE LUCAS JR. 1417549957
MILDRED MCCLASKEY 1477145936
SANDRA GREAVER 1356934491
AMANDA WELLS 1518550623
TIMOTHY THOMPSON 1023602273
COLLIN MONEYPENNY 1013684166
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.