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Mondale Lucas
Home Health Registered Nurse in Selden, New York
NPI 1265105662

Mondale Lucas is a Home Health Registered Nurse based in Selden, NY and is specialized in Home Health. Mondale Lucas practices in Selden, NY. The NPI Number for Mondale Lucas is 1265105662 and holds a License No. 819750 (New York).

The current practice location address for Mondale Lucas is 111 College Rd Apt 9P, Selden, NY and can be reached out via phone at 631-764-3716.

Location: 111 College Rd Apt 9P, Selden, NY, 11784-2836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265105662
Provider Name
Mondale Lucas
Credential
Provider Entity Type
Individual
Gender
Male
Address
111 College Rd Apt 9P, Selden, NY, 11784-2836
Phone Number
631-764-3716
Fax Number
Provider Enumeration Date
07/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 College Rd Apt 9P
City
Selden
State
New York
Zip
11784-2836
Phone Number
631-764-3716
Fax Number
person
Provider Business Mailing Address Details
Address
111 College Rd Apt 9P
City
Selden
State
New York
Zip
11784-2836
Phone Number
631-764-3716
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
163WH0200X
License No.
819750 (New York)
Definition
Definition to come...
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