Individual
JASON LUCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 740-2163
(603) 740-2246
Mailing address
540 LAFAYETTE RD, SUITE 8, HAMPTON, NH 03842-3344
(603) 926-0088
(603) 926-2853
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
053322-23-03
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30343093
—
NH
01
—
40Y007328NH01
BCBS THRU SEACOAST ER
NH
01
—
P00371472
RAILROAD THRU SEACOAST ER
NH
Enumeration date
08/08/2006
Last updated
01/18/2008
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