JACLYN ELIZABETH LUCAS MPAS PA-C NPI 1801200167

NPI Information

NPI: 1801200167
Provider Name: JACLYN ELIZABETH LUCAS, MPAS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
150 S SUNNY SLOPE RD STE 136
BROOKFIELD, WI
ZIP 53005
Phone: (262) 786-4550
Get Directions

Jaclyn Elizabeth Lucas, MPAS, PA-C is a medical physician assistant in Brookfield, WI. Jaclyn Elizabeth Lucas, MPAS, PA-C NPI is 1801200167. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

150 S SUNNY SLOPE RD STE 136
BROOKFIELD, WI
ZIP 53005-858
Phone: (262) 786-4550
Fax: (262) 786-4552

The NPI 1801200167 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/15/2014 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	3343.023	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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