| 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 |