Provider Demographics
NPI:1306242672
Name:LUCAS, BRITTANY (LPN, RAC-CT)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:LUCAS
Suffix:
Gender:F
Credentials:LPN, RAC-CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20440 LONGVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47025-9019
Mailing Address - Country:US
Mailing Address - Phone:513-720-7619
Mailing Address - Fax:
Practice Address - Street 1:20440 LONGVIEW DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:IN
Practice Address - Zip Code:47025-9019
Practice Address - Country:US
Practice Address - Phone:513-720-7619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-13
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.152305-MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse