Provider / Organization | NPI | Date Certified |
---|---|---|
ASHLEY LAURA LUCAS | 1073130209 | 2020-07-03 |
Ashley Laura Lucas is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1073130209. Registration indicates Ashley Laura Lucas is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse: Lactation Consultant, ) (Registered Nurse Lactation Consultant, Nursing Service Providers) (Registered Nurse, )
Entity Type | Individual |
Provider Name | Ashley Laura Lucas RN, IBCLC |
Practice Office Address | 5879 CROOKED CREEK DR OOLTEWAH, TN US |
Practice Office Telephone | 4236193622 |
Mailing Address | 5879 CROOKED CREEK DR OOLTEWAH, TN 373636571 US |
Business Telephone | 4236193622 |
Code | Practice | License No State |
---|---|---|
163WL0100X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse: Lactation Consultant Registered Nurse Lactation Consultant Nursing Service Providers Registered Nurse | RN0000163787
TN |
193400000X SING | Group Code |