# MRS. JENNIFER LYNN LUCAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1154556066
- **Gender:** F
- **Credential:** C.O.T.A/L

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 1734 | TN | Yes |

## Other

- **Enumeration date:** 05/20/2009
- **Last updated:** 05/20/2009