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Shannon Dean Lucas, FNP
Family Nurse Practitioner in Beaumont, Texas
NPI 1790756898

Shannon Dean Lucas is a Family Nurse Practitioner based in Beaumont, TX and is specialized in Family. Shannon Dean Lucas practices in Beaumont, TX and has the professional credentials of FNP. The NPI Number for Shannon Dean Lucas is 1790756898 and holds a License No. 629586 (Texas).

The current practice location address for Shannon Dean Lucas is 3345 Plaza 10 Dr, Beaumont, TX and can be reached out via phone at 409-838-2626 and via fax at 409-838-1980. You can also correspond with Shannon Dean Lucas through the mailing address at 3619 11TH ST, BEAUMONT, TX - 77705-9233 (mailing address contact number: 409-749-0377).

Location: 3345 Plaza 10 Dr, Beaumont, TX, 77705-9233
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Provider Profile Details
NPI Number
1790756898
Provider Name
Shannon Dean Lucas
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
3345 Plaza 10 Dr, Beaumont, TX, 77705-9233
Phone Number
409-838-2626
Fax Number
409-838-1980
Provider Enumeration Date
01/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
146102201 05 TX
institution
Provider Business Practice Location Address Details
Address
3345 Plaza 10 Dr
City
State
Zip
77707-2554
Phone Number
409-838-2626
Fax Number
409-838-1980
person
Provider Business Mailing Address Details
Address
3619 11Th St
City
State
Zip
77705-9233
Phone Number
409-749-0377
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
629586 (Texas)
Definition
Definition to come...
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