Deflorimonte Lucas, Coleen Evangeline

Deflorimonte Lucas, Coleen Evangeline is an individual health care provider with primary practice located at 111 Michigan Ave Nw , Washington DC 20010-2916. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Deflorimonte Lucas, Coleen Evangeline can be contacted via phone (202) 476-5000.

Contact Information

Primary practice address
111 Michigan Ave Nw Washington DC 20010-2916
Phone: (202) 476-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN51579 District of Columbia

Profile Details

NPI number 1962762112
LBN Legal business name Deflorimonte Lucas, Coleen Evangeline
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2012
Last updated Jan 13th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962762112 NPPES
District of Columbia MEDICAID 4424780

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