| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KATIE CAMPBELL LUCAS | 1285222794 | 2021-01-10 |
Katie Campbell Lucas is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1285222794. Registration indicates Katie Campbell Lucas is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse: Case Management, ) (Registered Nurse Case Management, Nursing Service Providers) (Registered Nurse, )
| Entity Type | Individual |
| Provider Name | Katie Campbell Lucas RN |
| Practice Office Address | 2817 REILLY ST FORT BRAGG, NC US |
| Practice Office Telephone | 9109076000 |
| Mailing Address | 2817 REILLY ST FORT BRAGG, NC 283107324 US |
| Business Telephone | 9109076000 |
| Code | Practice | License No State |
|---|---|---|
| 163WC0400X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse: Case Management Registered Nurse Case Management Nursing Service Providers Registered Nurse | 203117
NC |