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Crystal Lucas
NPI 1558904250 · on the registry since 2019 · sole proprietor
Practice
- Address
- 161 Kingswood Dr
Ellenwood, GA 30294 - Phone
- (404) 989-7642
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia