Individual
JILL M. DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
240 LAKEWOOD BLVD, MADISON, WI 53704-5916
(608) 213-7988
Mailing address
240 LAKEWOOD BLVD, MADISON, WI 53704-5916
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2302-23
WI
363AM0700X
Medical Physician Assistant
Primary
2302-23
WI
Other
Enumeration date
07/22/2008
Last updated
10/21/2024
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