NPI 1770936460

Jennifer Lucas

Practitioner Nurse's Aide Pembroke Township, IL

Practice location

Address: 12820 E Sneed CT, Pembroke Township, IL 60958-2900
Phone: (779) 240-1577

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X

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Registry record

NPI: 1770936460
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2016
Record last updated: 18 Jul 2016

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.