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CRYSTAL V LUCAS
NPI 1558904250
Licensed Practical Nurse in Ellenwood, GA

Active since October 25, 2019
161 KINGSWOOD DR, ELLENWOOD, GA 30294(404) 989-7642 Get Directions Write a Review

NPPES record last updated: October 25, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Crystal V Lucas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL V LUCAS (NPI 1558904250) is an individual licensed practical nurse in Ellenwood, Georgia, licensed in Georgia (LPN063015) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1558904250
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCRYSTAL V LUCAS
Location Address161 KINGSWOOD DREllenwood, GA 30294-3159
Mailing Address161 Kingswood DrEllenwood, GA 30294-3159 · (404) 989-7642
Phone(404) 989-7642
Sole ProprietorYes
Enumeration DateOctober 25, 2019
✔ NPI 1558904250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in GA · LPN063015
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
161 KINGSWOOD DR, Ellenwood, GA 30294
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Lucas's NPI number?

The NPI number for Crystal Lucas is 1558904250. It was assigned to this individual provider in the NPPES registry on October 25, 2019.

Where is Crystal Lucas located?

Crystal Lucas practices at 161 Kingswood Dr, Ellenwood, GA 30294. The listed phone number is (404) 989-7642.

What is Crystal Lucas's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Crystal Lucas was last updated on October 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.