Provider Demographics
NPI:1881361749
Name:LUCAS, YOLANDA (LPN)
Entity type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:
Last Name:LUCAS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:542 JANEWAY DR APT 163
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3160
Mailing Address - Country:US
Mailing Address - Phone:484-345-0096
Mailing Address - Fax:
Practice Address - Street 1:542 JANEWAY DR APT 163
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3160
Practice Address - Country:US
Practice Address - Phone:484-345-0096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN296501164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse