Provider Information for 1407194962
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SABRINA N LUCAS
Other Names:Former Name:SABRINA NICOLE HILYERSex: Female
NPI: 1407194962
Last Updated: 2023-02-02
Certification Date: 2023-02-02
Certification Date: 2023-02-02
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1407194962 | ||||||||
| Enumeration Date | 2013-01-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 7764 CITRUS HEIGHTS, CA 95621-7764 United States Phone: 916-390-3580 | Fax: | ||||||||
| Primary Practice Address | 6147 SUTTER AVE CARMICHAEL, CA 95608-2738 United States Phone: 916-971-7640 | Fax: | ||||||||
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