Individual
JENNIFER SUE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
450 OXFORD AVE, NEWCOMERSTOWN, OH 43832-1317
(330) 663-6313
Mailing address
450 OXFORD AVE, NEWCOMERSTOWN, OH 43832-1317
(330) 663-6313
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0205401
—
OH
Enumeration date
12/13/2020
Last updated
08/24/2021
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