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
Mailing address161 Kingswood Dr, Ellenwood, GA 30294-3159

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