Individual provider · Type 1 NPI

Jessica L. Lucas, DO

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1629607189 Active

Practice location

3031 W Grand Blvd Ste 600
Detroit, MI 48202-3014

Call (801) 634-2302 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629607189

Jessica L. Lucas, DO's National Provider Identifier is 1629607189, issued on Apr 6, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Apr 6, 2020.