NPI 1598185563

Thomas Jordan Lucak, MD

Practitioner Orthopaedic Surgery Physician Vancleave, MS

Practice location

Address: 6300 E Lake Blvd STE 201, Vancleave, MS 39565-6771
Phone: (228) 230-2663
Fax: (228) 546-3257
Mailing address: 6300 E Lake Blvd STE 301, Vancleave, MS 39565-6771

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 27538 (MS)

Other Orthopaedic Surgery providers in Mississippi →

Registry record

NPI: 1598185563
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Apr 2014
Record last updated: 14 Aug 2020

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.