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ASHLEY LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
4069 LAKE DR SE, SUITE 117, GRAND RAPIDS, MI 49546-8816
(616) 267-8600
(616) 267-8605
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C04685
MD

Other

Enumeration date
02/07/2012
Last updated
02/25/2015
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