Individual
JENNIFER LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 445-3643
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 445-6343
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
AC2895437T63
OH
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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