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Contact Information

HEIDI S LUCAS, RN, CDE
103 MEDICINE WAY ROAD
PERIDOT, AZ85542
 Phone: 928-475-1468
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for HEIDI S LUCAS · (Female)

NPI Number 1790209492
Status Active
Credentials RN, CDE
Entity Individual
Enumeration date 08/03/2017
Last updated 08/03/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # AZ123642
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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