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Individual

MRS. ASHLEA MICA LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4544 S LAMAR BLVD STE 760, AUSTIN, TX 78745
(512) 433-6333
(512) 433-6331
Mailing address
1601 TRINITY ST, AUSTIN, TX 78712-1765
(512) 495-5300

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
02589
TX

Other

Enumeration date
10/12/2006
Last updated
07/09/2018
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