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Individual

DR. JENNIFER M LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2710 SAINT FRANCIS DR, #320, WATERLOO, IA 50702-5619
(319) 272-5000
(319) 272-8072
Mailing address
2710 SAINT FRANCIS DR, #320, WATERLOO, IA 50702-5619
(319) 272-5000
(319) 272-8072

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95031
OK
363LF0000X
Family Nurse Practitioner
Primary
A143612
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200244510A
OK
Enumeration date
04/13/2009
Last updated
07/06/2016
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