Coletta Lucas, Jaclyn Marie
Coletta Lucas, Jaclyn Marie is an individual health care provider with primary practice located at 622 W 168Th St Ph 16-66, New York NY 10032-3720. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Coletta Lucas, Jaclyn Marie can be contacted via phone (212) 305-6293.Contact Information
Primary practice address
622 W 168Th St Ph 16-66
New York NY 10032-3720
Phone: (212) 305-6293
Fax: (212) 342-2717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 241653 | New York |
Profile Details
| NPI number | 1477759611 |
|---|---|
| LBN Legal business name | Coletta Lucas, Jaclyn Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2007 |
| Last updated | Apr 10th, 2023 - about last year |
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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