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Individual

DR. JACQUELYN D LUCAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
639 MIDDLETON RD, WINONA, MS 38967
(662) 283-1781
(662) 283-2911
Mailing address
PO BOX 763, 639 MIDDLETON RD, WINONA, MS 38967
(662) 283-1781
(662) 283-2911

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MS599
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00880146
MS
Enumeration date
03/27/2007
Last updated
11/16/2016
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