Jennifer Raun Lucas, PA-C

NPI #1356893549 in Meridian, Idaho

Provider Information

NPI Number: 1356893549
Entity Type: Individual
Name: Jennifer Raun Lucas, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 4, 2016
Last Updated: Nov 4, 2016

Practice Location

Address: 3015 E MAGIC VIEW DR
City: Meridian
State: Idaho
ZIP Code: 83642-3757
Phone: (208) 321-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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