person
Jackie Lavete Lucas
Administrator Registered Nurse in Southfield, Michigan
NPI 1427602531

Jackie Lavete Lucas is an Administrator Registered Nurse based in Southfield, MI and is specialized in Administrator. Jackie Lavete Lucas practices in Southfield, MI. The NPI Number for Jackie Lavete Lucas is 1427602531 and holds a License No. 4704261129 (Michigan).

The current practice location address for Jackie Lavete Lucas is 19270 Red Maple Ct, Southfield, MI and can be reached out via phone at 248-296-1252.

Location: 19270 Red Maple Ct, Southfield, MI, 48076-1006
person
Provider Profile Details
NPI Number
1427602531
Provider Name
Jackie Lavete Lucas
Credential
Provider Entity Type
Individual
Gender
Female
Address
19270 Red Maple Ct, Southfield, MI, 48076-1006
Phone Number
248-296-1252
Fax Number
Provider Enumeration Date
07/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19270 Red Maple Ct
City
State
Zip
48076-1006
Phone Number
248-296-1252
Fax Number
person
Provider Business Mailing Address Details
Address
19270 Red Maple Ct
City
State
Zip
48076-1006
Phone Number
248-296-1252
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Administrator
Taxonomy
License No.
4704261129 (Michigan)
Definition
Definition to come...
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