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Individual
MR. JEFFREY A LUCAK
Active
Individual
MR. JEFFREY A LUCAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14876
NC
363A00000X
Physician Assistant
PA4464
MA
Other
Enumeration date
08/31/2012
Last updated
02/24/2026
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