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Individual
KAYLA LUCAS
Active
Individual
KAYLA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055-0031706
VT
363A00000X
Physician Assistant
PA60705903
WA
363A00000X
Physician Assistant
PA7345
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110159395A
—
MA
05
—
1164804183
—
WA
05
—
6714929
—
VT
05
—
S400630894
—
MA
Enumeration date
06/25/2015
Last updated
12/29/2025
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