THOMAS JORDAN LUCAK

VANCLEAVE, MS
NPI1598185563
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: MS  27538)
Enumeration Date2014-04-17
Last Update Date2020-08-14
Business Address
THOMAS JORDAN LUCAK MD
6300 E LAKE BLVD STE 201
VANCLEAVE, MS 39565-6771
Phone number: 228-230-2663
Mailing Address
THOMAS JORDAN LUCAK MD
6300 E LAKE BLVD STE 301
VANCLEAVE, MS 39565-6771
Phone number: 228-230-2663