Janise Lucas

NPI #1770827404 in Freeport, Illinois

Provider Information

NPI Number
1770827404
Entity Type
Individual
Name
Janise Lucas
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Enumeration Date
Nov 19, 2012
Last Updated
Nov 19, 2012

Practice Location

Address
421 W EXCHANGE ST
ZIP Code
61032-4008
Phone
(815) 599-7300

Specialties & Taxonomy Codes

Specialty
Specialist

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