Individual
LUCAS WADE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 882-5220
(812) 885-3811
Mailing address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 882-5220
(812) 885-3811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
99044276A
IN
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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