Provider Demographics
NPI:1659773919
Name:LUCUS, CHRISTI ANN (NP)
Entity Type:Individual
Prefix:
First Name:CHRISTI
Middle Name:ANN
Last Name:LUCUS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 29TH AVE NE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-1084
Mailing Address - Country:US
Mailing Address - Phone:828-326-0658
Mailing Address - Fax:828-326-7105
Practice Address - Street 1:212 29TH AVE NE
Practice Address - Street 2:SUITE 1
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-1084
Practice Address - Country:US
Practice Address - Phone:828-326-0658
Practice Address - Fax:828-326-7105
Is Sole Proprietor?:No
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC209603363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily