Individual provider · Type 1 NPI

Malisa Sha'ree Lucas, COSMETOLOGIST

Specialist · Durham, NC

NPI number 1639439557 Active

Practice location

5410 Nc Highway 55
Durham, NC 27713-7800

Mailing address

6123 Greens Hollow Ln
Durham, NC 27713-2109

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XC84271 (NC)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1639439557

Malisa Sha'ree Lucas, COSMETOLOGIST's National Provider Identifier is 1639439557, issued on May 25, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Durham, NC. The record was last updated on May 25, 2012.