Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JEAN MARIE LUCK, P.A.
Active Sole ProprietorMS. JEAN MARIE LUCK, P.A. is a Medical Physician Assistant healthcare provider located in GREEN VALLEY LAKE, California. NPI 1740322619 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · GREEN VALLEY LAKE, CA
Registration Details
- NPI Number
- 1740322619
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 13, 2007 (19.317684513239 yrs)
- Last Updated
- Jul 9, 2007
- License
-
CAPA15505 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
33420 ROBINDR.GREEN VALLEY LAKE, CA, 923418327Browse CA providers · Browse ZIP 92341
- Phone
- 9093799894
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.