Marlie E Lucas

Overview of Marlie E Lucas

• NPI number: 1811534621
• Provider type: Organization
• Specialty: Clinic/Center
• Active since: 04/08/2019
• Last updated: 08/14/2019

Primary Scrop of Practice

• Taxonomy Code: 261Q00000X
• Specialty: Clinic/Center
• License Number: unknow
• License State: unknow

Provider Mailing Address

• Address: 1751 N Stockton Hill Rd Ste B
  Kingman, AZ 86401
• Phone: 928-715-9258
• Fax:

Provider Practice Location

• Address: 1751 N Stockton Hill Rd Ste B
  Kingman, AZ 86401
• Phone: 928-715-9258
• Fax:

Authorized Official

• Name: MS. Marlie Elaine Lucas FNP-BC
• Position/Title: Fnp, Owner
• Telephone Number: 928-715-9258

Scope of Practice

• Taxonomy Code: 261Q00000X
• Specialty: Clinic/Center
• License Number:
• License State:
• Switch: Yes