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1598185563
THOMAS JORDAN LUCAK
VANCLEAVE, MS
NPI
1598185563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: MS 27538)
Enumeration Date
2014-04-17
Last Update Date
2020-08-14
Business Address
THOMAS JORDAN LUCAK MD
6300 E LAKE BLVD STE 201
VANCLEAVE, MS 39565-6771
Phone number: 228-230-2663
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Mailing Address
THOMAS JORDAN LUCAK MD
6300 E LAKE BLVD STE 301
VANCLEAVE, MS 39565-6771
Phone number: 228-230-2663
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