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Individual

DR. JEFFERY LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D

Contact information

Practice address
9040 JACKSON AVE, TACOMA, WA 98431-1303
(253) 982-3685
Mailing address
17214 134TH AVENUE CT E, PUYALLUP, WA 98374-8883

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2837
WA

Other

Enumeration date
10/07/2005
Last updated
11/21/2019
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