Lucas, Jane

Lucas, Jane is an individual health care provider with primary practice located at 651 S Clarizz Blvd , Bloomington IN 47401-5523. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Lucas, Jane can be contacted via phone (812) 333-2304.

Contact Information

Primary practice address
651 S Clarizz Blvd Bloomington IN 47401-5523
Phone: (812) 333-2304
Fax: (812) 330-2306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71000361A Indiana

Profile Details

NPI number 1649266628
LBN Legal business name Lucas, Jane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Feb 21st, 2013 - about 12 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 1649266628 NPPES
Indiana MEDICAID 201097360

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