Individual
JILL K LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 SPENCER RD, SPENCER, OH 44275-9779
(330) 648-7003
Mailing address
PO BOX 264, SPENCER, OH 44275-0264
(330) 648-7003
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/21/2019
Last updated
09/21/2019
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