NPI 1548916638
Jesse Lucas
Practice location
- Address
- 401 Woodside Ave, Newark, NJ 07104-3243
- Phone
- (623) 296-2034
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1548916638
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 Feb 2022
- Record last updated
- 27 Feb 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.