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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACLYN ELIZABETH LUCAS, MPAS, PA-C

Active Sole Proprietor

JACLYN ELIZABETH LUCAS, MPAS, PA-C is a Medical Physician Assistant healthcare provider located in BROOKFIELD, Wisconsin. NPI 1801200167 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BROOKFIELD, WI

Registration Details

NPI Number
1801200167
Provider Type
Individual
Gender
Female
NPI Issued
Jun 15, 2014 (12.123673521803 yrs)
Last Updated
Jul 21, 2022
License
3343.023 (WI)
Sole Proprietor
Yes

Practice Information

Address
150 S SUNNY SLOPE RD STE 136
BROOKFIELD, WI, 530054858
Browse WI providers · Browse ZIP 53005
Phone
2627864550
Fax
2627864552
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in BROOKFIELD, WI

Name Credential NPI
NICOLE MARIE JODAT PA-C 1871742627
SARAH S STINSKI 1306421508
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.