Individual provider · Type 1 NPI

Shannon Dean Lucas, FNP

Family Nurse Practitioner · Beaumont, TX

NPI number 1790756898 Active

Practice location

3345 Plaza 10 Dr, Suite E
Beaumont, TX 77707-2554

Fax (409) 838-1980

Mailing address

3619 11th St
Beaumont, TX 77705-9233

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X629586 (TX)

Family Nurse Practitioner: Definition to come...

9 other providers at this address

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About NPI 1790756898

Shannon Dean Lucas, FNP's National Provider Identifier is 1790756898, issued on Jan 28, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Beaumont, TX. The record was last updated on Jul 31, 2007.