Individual
RACHEL CREA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4855 N. MOORLAND ROAD, URGENT CARE CLINIC, NEW BERLIN, WI 53151-7494
(262) 432-7599
(262) 432-7694
Mailing address
300 CASSIDY AVE, LEXINGTON, KY 40502-2503
(952) 412-5669
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
63288-21
WI
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
05259
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679816813
—
WI
Enumeration date
04/05/2013
Last updated
04/13/2023
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