Individual
JACLYN ELIZABETH LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
150 S SUNNY SLOPE RD STE 136, BROOKFIELD, WI 53005-4858
(262) 786-4550
(262) 786-4552
Mailing address
N27W22477 BURNINGWOOD LN, WAUKESHA, WI 53186-8811
(262) 442-4522
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3343.023
WI
Other
Enumeration date
06/15/2014
Last updated
07/21/2022
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