Jill A Lucas

NPI #1174252977 in Nampa, Idaho

Provider Information

NPI Number: 1174252977
Entity Type: Individual
Name: Jill A Lucas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Jun 7, 2022
Last Updated: Jun 9, 2022

Practice Location

Address: 823 PARKCENTRE WAY
City: Nampa
State: Idaho
ZIP Code: 83651-1783
Phone: (208) 475-5076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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