Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal V Lucas

Individual provider Licensed Practical Nurse · NPI 1558904250

Crystal V Lucas is a Licensed Practical Nurse in Ellenwood, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2019

Practice location Address checks out

161 Kingswood Dr
Ellenwood, GA 30294-3159
Phone: (404) 989-7642
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LPN063015 (GA)

Record details

NPI number1558904250
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 25, 2019
Last updated in NPPESOctober 25, 2019

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