NPI | 1366791733 |
---|---|
Professional Name | JEFFREY ALAN LUCAK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-14876) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA4464) |
Enumeration Date | 2012-08-31 |
Last Update Date | 2025-08-15 |