Individual
BROOKE JANEL LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
7980 W SAHARA AVE, LAS VEGAS, NV 89117-1990
(702) 254-4444
Mailing address
3049 FENMARCH ST, LAS VEGAS, NV 89135-2154
(702) 254-4444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06305
TX
Other
Enumeration date
07/15/2009
Last updated
01/29/2019
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