ANTHONY JARED LUCCA

SPRINGFIELD, IL
NPI1386068955
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2014-02-18
Last Update Date2014-02-18
Business Address
Mr. ANTHONY JARED LUCCA PA-C
701 N 1ST ST
SPRINGFIELD, IL 62781-0001
Phone number: 217-788-3156
Mailing Address
Mr. ANTHONY JARED LUCCA PA-C
1119 INTERLACKEN RD
SPRINGFIELD, IL 62704-2129
Phone number: 217-622-5975
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