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Individual

JARED LUCAS ROLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BHS,MPAS,PA-C

Contact information

Practice address
109 3RD ST, LINCOLN, IL 62656-2604
(217) 735-2317
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-011835
IL

Other

Enumeration date
01/08/2026
Last updated
02/12/2026
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