Individual
JEANNE MARIE CAWSE-LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-2818
(774) 441-7799
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1020181
MA
207Q00000X
Family Medicine Physician
MD60021600
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0283456
L&I
WA
05
—
1548489032
—
WA
Enumeration date
04/24/2007
Last updated
09/04/2024
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