Individual
JENNIFER LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12820 E SNEED CT, PEMBROKE TOWNSHIP, IL 60958-2900
(779) 240-1577
Mailing address
12820 E SNEED CT, PEMBROKE TOWNSHIP, IL 60958-2900
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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