Individual
DR. JESSICA LEIGH LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104
(405) 271-1090
(405) 271-7873
Mailing address
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5014
(405) 271-1090
(405) 271-7873
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2701
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200350910A
—
OK
Enumeration date
07/29/2011
Last updated
07/15/2020
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