Lucas, Jessica Lorraine

Lucas, Jessica Lorraine is an sole proprietor health care provider with primary practice located at 5049 W Beverly Ln , Glendale AZ 85306-2029. She recently has only one registered license in Agencies / In Home Supportive Care, which is considered as her primary health care specialty. Lucas, Jessica Lorraine can be contacted via phone (602) 550-5839.

Contact Information

Primary practice address
5049 W Beverly Ln Glendale AZ 85306-2029
Phone: (602) 550-5839
Fax: (602) 550-5839
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1437658317
LBN Legal business name Lucas, Jessica Lorraine
Credentials R-MA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2018
Last updated Feb 6th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437658317 NPPES
Arizona Other 2501137937 STATE OF ARIZONA DEPARTMENT OF PUBLIC SAFETY- FINGER PRINT CLEARANCE CARD
Arizona Other 54274 STATE OF ARIZONA DEPARTMENT OF PUBLIC SAFETY- FINGER PRINT CLEARANCE CARD
Arizona Other 2791281 STATE OF ARIZONA DEPARTMENT OF PUBLIC SAFETY- FINGER PRINT CLEARANCE CARD

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