Individual provider · Type 1 NPI

Janise Lucas

Specialist · Freeport, IL

NPI number 1770827404 Active

Practice location

421 W Exchange St
Freeport, IL 61032-4008

Mailing address

PO Box 813
Freeport, IL 61032-0813

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1770827404

Janise Lucas's National Provider Identifier is 1770827404, issued on Nov 19, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Freeport, IL. The record was last updated on Nov 19, 2012.