Individual
JOCELYN LUCAS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
72 MOODY CT, STE101, THOUSAND OAKS, CA 91360-6067
(805) 777-3500
(805) 777-3510
Mailing address
72 MOODY CT, STE101, THOUSAND OAKS, CA 91360-6067
(805) 777-3500
(805) 777-3510
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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