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1801200167
JACLYN ELIZABETH LUCAS
BROOKFIELD, WI
NPI
1801200167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WI 3343.023)
Enumeration Date
2014-06-15
Last Update Date
2022-07-21
Business Address
-- JACLYN ELIZABETH LUCAS MPAS, PA-C
150 S SUNNY SLOPE RD STE 136
BROOKFIELD, WI 53005-4858
Phone number: 262-786-4550
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Mailing Address
-- JACLYN ELIZABETH LUCAS MPAS, PA-C
N27W22477 BURNINGWOOD LN
WAUKESHA, WI 53186-8811
Phone number: 262-442-4522
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