Jennifer Fowler Lucas, PA-C

NPI #1104241678 in Onley, Virginia

Provider Information

NPI Number
1104241678
Entity Type
Individual
Name
Jennifer Fowler Lucas, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Feb 20, 2014
Last Updated
Dec 15, 2014

Practice Location

Address
20306 BADGER LANE
City
Onley
ZIP Code
23418-0159
Phone
(757) 787-7374

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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